OrganizationActive
Fresh Coast Dental 3 LLC
NPI 1063370658 · General Practice Dentistry · Cudahy, WI
Provider details
- NPI number
- 1063370658
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ahmed Alsallami, Owner/Dentist(414) 687-9831
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6042 S Packard Ave
Cudahy, WI 53110-3028
Phone: (414) 687-9831
Street-level locationGet directions
Mailing address
6042 S Packard Ave
Cudahy, WI 53110-3028
Other names (DBA / former)
- Doing business as
- Fresh Coast Dental
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.