Tiny Teeth of Lakewood PC
NPI 1104642669ActiveOrganization· Dentist, Pediatric Dentistry· Lakewood, NJ
Dentist, Pediatric Dentistry in Lakewood, New Jersey, registered in NPPES in December 2024. The authorized official on file is Zaki Mustacchi, DDS, Owner.
Overview
| NPI | 1104642669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2024 |
| Last updated in NPPES | Dec 2, 2024 |
| Certified by provider | Dec 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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