Fresh Coast Dental LLC
NPI 1780393728ActiveOrganization· Dentist, General Practice· Greenfield, WI
Dentist, General Practice in Greenfield, Wisconsin, registered in NPPES in November 2022. The authorized official on file is Ahmed Alsallami, DDS, Owner/Dentist.
Overview
| NPI | 1780393728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2022 |
| Last updated in NPPES | Nov 17, 2022 |
| Certified by provider | Nov 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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