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Dr. Ketan Arun Sukkawala, DDS
Pediatric Dentist in College Station, Texas
NPI 1710030077

Ketan Arun Sukkawala is a Pediatric Dentist based in College Station, TX and is specialized in Pediatric Dentistry. Ketan Arun Sukkawala practices in College Station, TX and has the professional credentials of DDS. The NPI Number for Ketan Arun Sukkawala is 1710030077 and holds a License No. 19635 (Texas).

The current practice location address for Ketan Arun Sukkawala is 1103 Rock Prairie Rd Ste 1001, College Station, TX and can be reached out via phone at 979-694-5200 and via fax at 979-694-5223.

Location: 1103 Rock Prairie Rd Ste 1001, College Station, TX, 77845-8651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710030077
Provider Name
Ketan Arun Sukkawala
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1103 Rock Prairie Rd Ste 1001, College Station, TX, 77845-8651
Phone Number
979-694-5200
Fax Number
979-694-5223
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19635 01 TX DENTAL LICENSE
009547301 05 TX
institution
Provider Business Practice Location Address Details
Address
1103 Rock Prairie Rd Ste 1001
City
College Station
State
Texas
Zip
77845-8344
Phone Number
979-694-5200
Fax Number
979-694-5223
person
Provider Business Mailing Address Details
Address
1103 Rock Prairie Rd Ste 1001
City
College Station
State
Texas
Zip
77845-8344
Phone Number
979-694-5200
Fax Number
979-694-5223
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
19635 (Texas)
Definition
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.
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