Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fresh Smiles PLLC

Organization Dentist · NPI 1629865480

Fresh Smiles PLLC is a Dentist in Ridgewood, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6709 Fresh Pond Rd Fl 2
Ridgewood, NY 11385-4505
Phone: (718) 261-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Pediatric Dentistry Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1629865480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Pitkouvich — Coordinator · (917) 391-8000
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address6709 Fresh Pond Rd Fl 2, Ridgewood, NY 11385-4505

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