National Provider Identifier Database

DR JAIME M POULOS DDS PC
Dental


Contact Information

DR. JAIME M. POULOS, DDS P.C.
120 NEW YORK AVE STE 2W
HUNTINGTON, NY11743-2743
Phone: 631-673-3755
Fax: 631-673-3343
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for DR. JAIME M. POULOS, DDS P.C.

NPI Number 1609397108
Legal business name
LBN
DR. JAIME M. POULOS, DDS P.C.
Authorized official JAIME POULOS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/05/2017
Last updated 04/09/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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