Ketan Arun Sukkawala in College Station - Pediatric Dentistry
Ketan Arun Sukkawala - NPI 1710030077
Ketan Arun Sukkawala is a Pediatric Dentistry in College Station, Texas. Ketan Arun Sukkawala practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ketan Arun Sukkawala is 1710030077. The last update date is 2017-11-16.
Ketan Arun Sukkawala's current location address is 1109 Rock Prairie Rd, College Station, Texas. You can contact this provider via phone number 9796945200 and fax number 9796945223. The mailing address for Ketan Arun Sukkawala is 1109 Rock Prairie Rd, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ketan Arun Sukkawala |
|---|---|
| Address | 1109 Rock Prairie Rd, College Station, Texas |
| Phone Number | 9796945200 |
| Fax Number | 9796945223 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710030077 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2017-11-16 |
Provider Mailing Address Detail
| Address | 1109 Rock Prairie Rd |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778458651 |
| Phone Number | 9796945200 |
| Fax Number | 9796945223 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19635 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19635 | TX | DENTAL LICENSE | |
| 9547301 | TX | -- |
Post Comment/ Review Below
What is the Ketan Arun Sukkawala's 1710030077?
The Ketan Arun Sukkawala's NPI (National Provider Identifier) Number is 1710030077. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ketan Arun Sukkawala?
The Ketan Arun Sukkawala is situated at 1109 Rock Prairie Rd, in the city of College Station, state of TX, with the zip code 778458651.
What is Ketan Arun Sukkawala's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ketan Arun Sukkawala is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710030077 to Ketan Arun Sukkawala?
The Centers for Medicare & Medicaid Services originally issued the 1710030077 to Ketan Arun Sukkawala on 2007-01-19.
As of what date was the information pertaining to Ketan Arun Sukkawala, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ketan Arun Sukkawala, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-11-16.
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