Fresh Coast Dental 2 LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRESH COAST DENTAL 2 LLC

Doing business as

Fresh Coast Dental

Practice address

4010 S Church Dr
New Berlin, WI 53151-5608

Phone

(551) 216-7433

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tushar Chimanbhai Thummar, DMDNPI 1922790674

Title

Member/Partner

Phone

(551) 216-7433

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, and the practitioner matching its NPPES authorized official.

• Tushar Chimanbhai Thummar, DMD

  • Dentist
  • Greenfield, WI
  • NPI 1922790674
  NPD Authorized official

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": "1700744398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S CHURCH DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515608",
            "telephone_number": "551-216-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S CHURCH DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515608",
            "telephone_number": "551-216-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH COAST DENTAL 2 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": "THUMMAR",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_middle_name": "CHIMANBHAI",
        "authorized_official_title_or_position": "MEMBER/PARTNER",
        "authorized_official_telephone_number": "551-216-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH COAST DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Fox, APRN
• Lanae D Fox, D.D.S.
• Elizabeth Frantal, PA-C
• Kristen Kelly Frederiksen, FNP
• Thomas Allan Freichels, APRN, BC
• Marlena J Friedrich, R.N.
• Patricia M Friedrich, LPN
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.
• Froedtert Health Neighborhood Hospital, LLC (Froedtert Community Hospital)
• Froedtert Health Pharmacy LLC (Froedtert Pharmacy 250)

• General Practice Dentistry in New Berlin, WI
• Providers in New Berlin, 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.