Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jaime M Poulos, DDS

Individual provider General Practice Dentistry · NPI 1619138229

Dr. Jaime M Poulos, DDS is a General Practice Dentistry in Huntington, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and New York.

Licensed in
IL, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

120 New York Ave Ste 2W
Huntington, NY 11743-2743
Phone: (631) 673-3755
Fax: (631) 673-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Laurel Ave, Northport, NY 11768-3165 — (631) 262-0644

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 052074 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019026797 (IL)

Record details

NPI number1619138229
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 17, 2008
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

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