Fresh Coast Dental 3 LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRESH COAST DENTAL 3 LLC

Practice address

6042 S Packard Ave
Cudahy, WI 53110-3028

Phone

(414) 687-9831

NPI assigned

Jan 12, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Alsallami, DDS

Title

Owner/Dentist

Phone

(414) 687-9831

Specialties & licenses 1

Addresses

Other names 1

• FRESH COAST DENTAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tushar Chimanbhai Thummar, DMD

  • Dentist
  • Greenfield, WI
  • NPI 1922790674
  NPD

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1063370658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6042 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103028",
            "telephone_number": "414-687-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6042 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103028",
            "telephone_number": "414-687-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH COAST DENTAL 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "ALSALLAMI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "414-687-9831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH COAST DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Figy, LAT
• Amanda Fischer, NP
• Robert Allen Fliss, RN
• Patrick Floyd, CRC, LPC
• Jennifer Foro, LCSW
• Noel K Garchitorena, MD
• Margaret Garrity, DPT
• Eliabeth Gasser, RN
• Melanie Gbadebo, LPC
• Kimberly J Gehrig, APNP, FNP-BC

• General Practice Dentistry in Cudahy, WI
• Providers in Cudahy, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.