Fresh Smiles PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRESH SMILES PLLC

Practice address

6709 Fresh Pond Rd FL 2
Ridgewood, NY 11385-4505

Phone

(718) 261-4000

NPI assigned

Apr 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Pitkouvich

Title

Coordinator

Phone

(917) 391-8000

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1629865480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 FRESH POND RD FL 2",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854505",
            "telephone_number": "718-261-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 FRESH POND RD FL 2",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854505",
            "telephone_number": "718-261-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "PITKOUVICH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "917-391-8000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Pond Physical Therapy Greenpoint, P.C
• Fresh Pond Physical Therapy, P.C
• Fresh Pond Physical Therapy, P.C
• Fresh Pond Podiatry PLLC
• Fresh Pond RX Inc
• Friendly Connections Inc
• Sreenivasa R Gade II
• Clare Gagne, CLC
• Mae Therese Galon
• Gara Medical Care PC

• General Practice Dentistry in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.