DR. KETAN ARUN SUKKAWALA DDS
NPI 1710030077
Dentist - Pediatric Dentistry in College Station, TX

Active since January 19, 2007
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: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ketan Arun Sukkawala Dds NPPES

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

DR. KETAN ARUN SUKKAWALA DDS (NPI 1710030077) is an individual pediatric dentistry provider in College Station, Texas, licensed in Texas (19635) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710030077
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KETAN ARUN SUKKAWALACredential: DDS
Location Address1103 ROCK PRAIRIE RD STE 1001College Station, TX 77845-8344
Mailing Address1109 Rock Prairie Rd, Ste 300College Station, TX 77845-8651 · (979) 694-5200 · Fax (979) 694-5223
Fax(979) 694-5223
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateNovember 16, 2017
NPI 1710030077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 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.
1103 ROCK PRAIRIE RD STE 1001, College Station, TX 77845

Other Identifiers 2

Medicaid009547301TX
Other19635TX · Dental License

Accepted 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.

Clinic/Center (Dental)
1103 ROCK PRAIRIE RD STE 1001
COLLEGE STATION, TX 77845
Dentist (Pediatric Dentistry)
1103 ROCK PRAIRIE RD STE 1001
COLLEGE STATION, TX 77845

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 Ketan Sukkawala's NPI number?

The NPI number for Ketan Sukkawala is 1710030077. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Ketan Sukkawala located?

Ketan Sukkawala practices at 1103 Rock Prairie Rd Ste 1001, College Station, TX 77845. The listed phone number is (979) 694-5200.

What is Ketan Sukkawala's specialty?

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

What insurance does Ketan Sukkawala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 17 other insurers list Ketan Sukkawala 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 Ketan Sukkawala was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.