Organization
KENTUCKY DENTAL TEAM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETAN SUKKAWALA DDS (OWNER)
(631) 445-0593
Entity
Organization
Contact information
Practice address
2800 CANNONS LN STE 100, LOUISVILLE, KY 40205-2173
(502) 813-8604
(502) 813-8612
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1216
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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