FRESH SMILES PLLC
NPI 1629865480
Dentist - General Practice in Ridgewood, NY

Q: What is Fresh Smiles PLLC's NPI number?

The NPI number for Fresh Smiles PLLC is 1629865480. It was assigned to this organization in the NPPES registry on April 23, 2025.

Q: What is Fresh Smiles PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Fresh Smiles PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2025

6709 FRESH POND RD FL 2, RIDGEWOOD, NY 11385(718) 261-4000 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fresh Smiles Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH SMILES PLLC (NPI 1629865480) is a healthcare organization registered as a general practice in Ridgewood, New York and active in the NPI registry since April 2025. The organization lists Alicia Pitkouvich, Coordinator, as its authorized official.

NPPES Registry Identity

NPI1629865480

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFRESH SMILES PLLC

Location Address6709 FRESH POND RD FL 2Ridgewood, NY 11385-4505

Mailing Address6709 Fresh Pond Rd Fl 2Ridgewood, NY 11385-4505 · (718) 261-4000

Phone(718) 261-4000

Organization SubpartNo

Authorized OfficialAlicia PitkouvichCoordinator · (917) 391-8000

Enumeration DateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1629865480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

6709 FRESH POND RD FL 2, Ridgewood, NY 11385

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Smiles PLLC's NPI number?

The NPI number for Fresh Smiles PLLC is 1629865480. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Fresh Smiles PLLC located?

Fresh Smiles PLLC is located at 6709 Fresh Pond Rd Fl 2, Ridgewood, NY 11385. The listed phone number is (718) 261-4000.

What is Fresh Smiles PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fresh Smiles PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.