Garden State Smiles of Brick
NPI 1073066700ActiveOrganization· Dentist, General Practice· Brick, NJ
Dentist, General Practice in Brick, New Jersey, registered in NPPES in July 2016. The authorized official on file is Jessica Petrolito, Office Mgr.
Overview
| NPI | 1073066700 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2016 |
| Last updated in NPPES | Jul 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9440 | NJ |
| Dentist, General Practice | 1223G0001X | 9434 | NJ |
| Dentist, General Practice | 1223G0001X | 21211 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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