| John G Poulos Dds | |
|
22 Laurel Ave Northport NY 11768-3165 | |
| (631) 262-0644 | |
| (631) 262-0645 |
| Full Name | John G Poulos Dds |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 22 Laurel Ave, Northport, New York |
| Authorized Official Name and Position | John G Poulos (OWNER) |
| Authorized Official Contact | 6312620644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John G Poulos Dds 22 Laurel Ave Northport NY 11768-3165 Ph: (631) 262-0644 | John G Poulos Dds 22 Laurel Ave Northport NY 11768-3165 Ph: (631) 262-0644 |
| NPI Number | 1932597606 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932597606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 31347 (New York) | Primary |
Steven B Lamberg, Dds, P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 140 Main St, Northport, NY 11768 Phone: 631-261-6014 | |
Melvin L. Kee, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Main St, Northport, NY 11768 Phone: 631-261-3533 Fax: 631-261-3541 | |
Adampostel Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 Main St, Northport, NY 11768 Phone: 631-754-1745 |