Organization · Type 2 NPI

Fresh Coast Dental 3 LLC

General Practice Dentistry · Cudahy, WI

NPI number 1063370658 Active

Practice location

6042 S Packard Ave
Cudahy, WI 53110-3028

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1063370658

Fresh Coast Dental 3 LLC's National Provider Identifier is 1063370658, issued on Jan 12, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cudahy, WI. The record was last updated on Jan 12, 2026.