Ketan Sukkawala, DDS

NPI 1710030077 · on the registry since 2007

Practice

Address: 1103 Rock Prairie Rd Ste 1001
College Station, TX 77845
Phone: (979) 694-5200
Fax: (979) 694-5223
Organisation at this address: Aegis Group Practice Llc
Brazos Valley Smiles, Pc
Traditions Hhc Acquisition Llc
Thc Hospice Care Acquisition, Llc
Select Operations Of College Station
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas