John George Poulos, DDS - Dentist in Northport, NY

John George Poulos, DDS is a Dentist - Prosthodontics based in Northport, New York. John George Poulos is licensed to practice in New York (license number 31347) and his current practice location is 22 Laurel Ave, Northport, New York. He can be reached at his office (for appointments etc.) via phone at (631) 262-0644.

NPI number for John George Poulos is 1871007773 and his current mailing address is 22 Laurel Ave, Northport, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871007773.

Contact Information

John George Poulos, DDS
22 Laurel Ave,
Northport, NY 11768-3165
(631) 262-0644
(631) 262-0645

Map and Direction




Healthcare Provider's Profile

Full NameJohn George Poulos
GenderMale
SpecialityDentist - Prosthodontics
Location22 Laurel Ave, Northport, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871007773
  • Provider Enumeration Date: 11/30/2017
  • Last Update Date: 11/30/2017

Medical Identifiers

Medical identifiers for John George Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871007773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 31347 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John George Poulos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John George Poulos, DDS
22 Laurel Ave,
Northport, NY 11768-3165

Ph: (631) 262-0644
John George Poulos, DDS
22 Laurel Ave,
Northport, NY 11768-3165

Ph: (631) 262-0644

Reviews and Comments


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