FRESH COAST DENTAL 3 LLC
NPI 1063370658
Dentist - General Practice in Cudahy, WI

Q: What is Fresh Coast Dental 3 LLC's NPI number?

The NPI number for Fresh Coast Dental 3 LLC is 1063370658. It was assigned to this organization in the NPPES registry on January 12, 2026. The provider is doing business as Fresh Coast Dental.

Q: What is Fresh Coast Dental 3 LLC's specialty?

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

Active since January 12, 2026

6042 S PACKARD AVE, CUDAHY, WI 53110(414) 687-9831 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fresh Coast Dental 3 Llc NPPES

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

FRESH COAST DENTAL 3 LLC (NPI 1063370658), doing business as Fresh Coast Dental, is a healthcare organization registered as a general practice in Cudahy, Wisconsin and active in the NPI registry since January 2026. The organization lists Ahmed Alsallami, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1063370658

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFRESH COAST DENTAL 3 LLC

Location Address6042 S PACKARD AVECudahy, WI 53110-3028

Mailing Address6042 S Packard AveCudahy, WI 53110-3028 · (414) 687-9831

Phone(414) 687-9831

Organization SubpartNo

Authorized OfficialAhmed AlsallamiOwner/dentist · (414) 687-9831

Enumeration DateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1063370658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6042 S PACKARD AVE, Cudahy, WI 53110

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Other Names 1

Doing Business AsFresh Coast Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Coast Dental 3 LLC's NPI number?

The NPI number for Fresh Coast Dental 3 LLC is 1063370658. It was assigned to this organization in the NPPES registry on January 12, 2026. The provider is doing business as Fresh Coast Dental.

Where is Fresh Coast Dental 3 LLC located?

Fresh Coast Dental 3 LLC is located at 6042 S Packard Ave, Cudahy, WI 53110. The listed phone number is (414) 687-9831.

What is Fresh Coast Dental 3 LLC'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 Coast Dental 3 LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.