Fresh Smiles PLLC
NPI 1629865480ActiveOrganization· Dentist, General Practice· Ridgewood, NY
Dentist, General Practice in Ridgewood, New York, registered in NPPES in April 2025. The authorized official on file is Alicia Pitkouvich, Coordinator.
Overview
| NPI | 1629865480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2025 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
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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