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John G Poulos Dds
Prosthodontist in Northport, New York
NPI 1932597606

John G Poulos Dds is a Prosthodontist based in Northport, NY and is specialized in Prosthodontics. John G Poulos Dds practices in Northport, NY. The NPI Number for John G Poulos Dds is 1932597606 and holds a License No. 31347 (New York).

The current practice location address for John G Poulos Dds is 22 Laurel Ave, Northport, NY and can be reached out via phone at 631-262-0644 and via fax at 631-262-0645.

Location: 22 Laurel Ave, Northport, NY, 11768-3165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932597606
Provider Name
John G Poulos Dds
Credential
Provider Entity Type
Organization
Address
22 Laurel Ave, Northport, NY, 11768-3165
Phone Number
631-262-0644
Fax Number
631-262-0645
Provider Enumeration Date
01/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22 Laurel Ave
City
Northport
State
New York
Zip
11768-3165
Phone Number
631-262-0644
Fax Number
631-262-0645
person
Provider Business Mailing Address Details
Address
22 Laurel Ave
City
Northport
State
New York
Zip
11768-3165
Phone Number
631-262-0644
Fax Number
631-262-0645
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
31347 (New York)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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