FRESH COAST DENTAL 2 LLC
NPI 1700744398
Dentist - General Practice in New Berlin, WI

Active since January 12, 2026
4010 S CHURCH DR, NEW BERLIN, WI 53151(551) 216-7433 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fresh Coast Dental 2 Llc NPPES

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

FRESH COAST DENTAL 2 LLC (NPI 1700744398), doing business as Fresh Coast Dental, is a healthcare organization registered as a general practice in New Berlin, Wisconsin and active in the NPI registry since January 2026. The organization lists Tushar Chimanbhai Thummar, Member/partner, as its authorized official.

NPPES Registry Identity

NPI1700744398
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFRESH COAST DENTAL 2 LLC
Location Address4010 S CHURCH DRNew Berlin, WI 53151-5608
Mailing Address4010 S Church DrNew Berlin, WI 53151-5608 · (551) 216-7433
Organization SubpartNo
Authorized OfficialTushar Chimanbhai ThummarMember/partner · (551) 216-7433
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1700744398 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.
4010 S CHURCH DR, New Berlin, WI 53151

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4010 S CHURCH DR
NEW BERLIN, WI 53151
Dentist (General Practice)
4010 S CHURCH DR
NEW BERLIN, WI 53151
Dentist (General Practice)
4010 S CHURCH DR
NEW BERLIN, WI 53151

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 2 LLC's NPI number?

The NPI number for Fresh Coast Dental 2 LLC is 1700744398. 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 2 LLC located?

Fresh Coast Dental 2 LLC is located at 4010 S Church Dr, New Berlin, WI 53151. The listed phone number is (551) 216-7433.

What is Fresh Coast Dental 2 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 2 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.