Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KETAN ARUN SUKKAWALA, DDS
ActiveDR. KETAN ARUN SUKKAWALA, DDS is a Pediatric Dentistry healthcare provider located in COLLEGE STATION, Texas. NPI 1710030077 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · COLLEGE STATION, TX
Registration Details
- NPI Number
- 1710030077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.571644882483 yrs)
- Last Updated
- Nov 16, 2017
- License
-
19635 (TX)
Practice Information
- Address
-
1103 ROCK PRAIRIE RD STE 1001COLLEGE STATION, TX, 778458344Browse TX providers · Browse ZIP 77845
- Phone
- 9796945200
- Fax
- 9796945223
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in COLLEGE STATION, TX
| Name | Credential | NPI |
|---|---|---|
| DR. LAWRENCE EDWARD KALKE | DMD | 1558524702 |
| DR. CANDACE CULPEPPER LIGHT | D.D.S. | 1427376987 |
| DR. BRIAN JAMES BARRAS | D.D.S. | 1649566431 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.