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John Poulos, DDS
NPI 1871007773 · Prosthodontics · Northport, NY
John Poulos, DDS is a Prosthodontics provider in Northport, NY (NPI 1871007773).
Provider details
- NPI number
- 1871007773
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31347 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22 Laurel Ave
Northport, NY 11768-3165
Phone: (631) 262-0644
Fax: (631) 262-0645
Street-level locationGet directions
Mailing address
22 Laurel Ave
Northport, NY 11768-3165
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2017-11-30
Frequently asked questions
- What is John Poulos's NPI number?
- John Poulos's National Provider Identifier (NPI) is 1871007773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Poulos's specialty?
- John Poulos is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is John Poulos located?
- John Poulos's practice location on file with NPPES is 22 Laurel Ave, Northport, NY 11768-3165.
- What is John Poulos's phone number?
- The practice phone number listed in the NPPES registry for John Poulos is (631) 262-0644.
- Is John Poulos's NPI active?
- Yes — John Poulos's NPI (1871007773) is active in the NPPES registry as of the last update on 2017-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.