DR. JAIME M. POULOS, DDS P.C.; NPI #1609397108

Contact Information

DR. JAIME M. POULOS, DDS P.C.

120 NEW YORK AVE STE 2W
HUNTINGTON, NY 11743-2743

Phone: 631-673-3755
Fax: 631-673-3343
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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

NPI #	`1609397108`
LBN Legal business name	DR. JAIME M. POULOS, DDS P.C.
Authorized official	JAIME POULOS - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/05/2017
Last updated	04/09/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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