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KENTUCKY DENTAL TEAM PLLC
NPI 1003768755
Dentist - Pediatric Dentistry in Louisville, KY

Active since February 13, 2026
2800 CANNONS LN STE 100, LOUISVILLE, KY 40205(502) 813-8604(502) 813-8612 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kentucky Dental Team Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTUCKY DENTAL TEAM PLLC (NPI 1003768755) is a healthcare organization registered as a pediatric dentistry in Louisville, Kentucky and active in the NPI registry since February 2026. The organization lists Ketan Sukkawala, Owner, as its authorized official.

NPPES Registry Identity

NPI1003768755
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKENTUCKY DENTAL TEAM PLLC
Location Address2800 CANNONS LN STE 100Louisville, KY 40205-2173
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1216 · (713) 489-2198 · Fax (713) 489-2978
Phone(502) 813-8604
Fax(502) 813-8612
Organization SubpartNo
Authorized OfficialKetan SukkawalaOwner · (631) 445-0593
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1003768755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
2800 CANNONS LN STE 100, Louisville, KY 40205
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENTUCKY ANESTHESIA TEAM PLLC
Anesthesiology
2800 CANNONS LN STE 100
LOUISVILLE, KY 40205
Jefferson County (502) 813-8604
DENTAL SURGICENTER OF LOUISVILLE LLC
Anesthesiology
2800 CANNONS LN STE 100
LOUISVILLE, KY 40205
Jefferson County (502) 813-8604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Dental Team PLLC's NPI number?

The NPI number for Kentucky Dental Team PLLC is 1003768755. It was assigned to this organization in the NPPES registry on February 13, 2026.

Where is Kentucky Dental Team PLLC located?

Kentucky Dental Team PLLC is located at 2800 Cannons Ln Ste 100, Louisville, KY 40205. The listed phone number is (502) 813-8604.

What is Kentucky Dental Team PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Kentucky Dental Team PLLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.