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Creating Smiles Family Dental

NPI 1063867117ActiveOrganization· Dentist, General Practice· Bloomfield, NJ

Dentist, General Practice in Bloomfield, New Jersey, registered in NPPES in April 2016. The authorized official on file is Elizabeth Sandoval, Owner.

Overview

NPI1063867117
StatusActive
Entity typeOrganization
NPI issuedApr 26, 2016
Last updated in NPPESApr 26, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X053693-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Bloomfield

All 35 general dentists in Bloomfield · All general dentists in New Jersey