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BRAZOS VALLEY SMILES, PC
NPI 1386924694
Clinic/Center - Dental in College Station, TX

Active since August 18, 2011
1103 ROCK PRAIRIE RD STE 1001, COLLEGE STATION, TX 77845(979) 694-5200(979) 694-5223 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Brazos Valley Smiles, Pc NPPES

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

BRAZOS VALLEY SMILES, PC (NPI 1386924694) is a healthcare organization registered as a dental in College Station, Texas and active in the NPI registry since August 2011. The organization maintains a secondary practice location in College Station and lists Ketan Arun Sukkawala, President, as its authorized official.

NPPES Registry Identity

NPI1386924694
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRAZOS VALLEY SMILES, PC
Location Address1103 ROCK PRAIRIE RD STE 1001College Station, TX 77845-8344
Mailing Address1103 Rock Prairie Rd Ste 1001College Station, TX 77845-8344 · (979) 694-5200 · Fax (979) 694-5223
Phone(979) 694-5200
Fax(979) 694-5223
Organization SubpartNo
Authorized OfficialKetan Arun SukkawalaPresident · (979) 694-5200
Enumeration DateAugust 18, 2011
Last NPPES UpdateJune 11, 20195 updates tracked since enumeration
✔ NPI 1386924694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 19635
1103 ROCK PRAIRIE RD STE 1001, College Station, TX 77845
Open in Google Maps ↗

Secondary Practice Location 1

Location 11109 Rock Prairie Rd, Ste. 300College Station, TX 77845-8651 · Phone (979) 694-5200

Other Identifiers 8

Medicaid009547301TX
Medicaid090878203TX
Other26291TX · Dental License Number
Other19635TX · Dental License Number
Other26496TX · Dental License Number
Other12102TX · Dental License Number
Medicaid280969101TX
Medicaid316310702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..Insurance ›

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.

DR. BRIAN JAMES BARRAS D.D.S.
Dentist (Pediatric Dentistry)
1103 ROCK PRAIRIE RD STE 1001
COLLEGE STATION, TX 77845
Brazos County (979) 694-5200
DR. KETAN ARUN SUKKAWALA DDS
Dentist (Pediatric Dentistry)
1103 ROCK PRAIRIE RD STE 1001
COLLEGE STATION, TX 77845
Brazos County (979) 694-5200

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 Brazos Valley Smiles, PC's NPI number?

The NPI number for Brazos Valley Smiles, PC is 1386924694. It was assigned to this organization in the NPPES registry on August 18, 2011.

Where is Brazos Valley Smiles, PC located?

Brazos Valley Smiles, PC is located at 1103 Rock Prairie Rd Ste 1001, College Station, TX 77845. The listed phone number is (979) 694-5200.

What is Brazos Valley Smiles, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Brazos Valley Smiles, PC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Brazos Valley Smiles, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brazos Valley Smiles, PC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.