Individual provider · Type 1 NPI
Ketan Arun Sukkawala, DDS
Pediatric Dentistry · College Station, TX
NPI number
1710030077
Active
Practice location
1103 Rock Prairie Rd Ste 1001
College Station, TX 77845-8344
Fax (979) 694-5223
Mailing address
1109 Rock Prairie Rd, Ste 300
College Station, TX 77845-8651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 19635 (TX) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in College Station
About NPI 1710030077
Ketan Arun Sukkawala, DDS's National Provider Identifier is 1710030077, issued on Jan 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in College Station, TX. The record was last updated on Nov 16, 2017.