Dr. Jaime M. Poulos, DDS P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

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

Practice address

120 New York Ave Ste 2W
Huntington, NY 11743-2743

Phone

(631) 673-3755

Fax

(631) 673-3343

NPI assigned

Jul 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jaime M Poulos, DDSNPI 1619138229

Title

President

Phone

(631) 673-3755

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime M Poulos, D.D.S.

  • General Practice Dentistry
  • Huntington, NY
  • NPI 1619138229
  NPD Authorized official
• Robert W Timson, DDS

  • General Practice Dentistry
  • Huntington, NY
  • NPI 1366511511
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1609397108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LAWRENCE HILL RD STE 1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433143",
            "telephone_number": "631-673-3755",
            "fax_number": "631-673-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NEW YORK AVE STE 2W",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432743",
            "telephone_number": "631-673-3755",
            "fax_number": "631-673-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAIME M. POULOS, DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-673-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Catherine Dowd, LPN
• Brian Doxey
• Dr Jesse Contovasilis MD PC
• Dr John R Viviani DDS, P.C.
• Dr. Charles Korrol
• Dr. John D. Iamele OD PC
• Dr. Shalini Patcha, M.D. P.C.
• Elizabeth Drago, M.A., BCBA
• Robert J Drago, PH.D.
• Elizabeth Catherine Draper, DPT

• Dental Clinic/Center in Huntington, NY
• Providers in Huntington, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.