| Kentucky Dental Team Pllc | |
|
2800 Cannons Ln Ste 100 Louisville KY 40205-2173 | |
| (502) 813-8604 | |
| (502) 813-8612 |
| Full Name | Kentucky Dental Team Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2800 Cannons Ln Ste 100, Louisville, Kentucky |
| Authorized Official Name and Position | Ketan Sukkawala (OWNER) |
| Authorized Official Contact | 6314450593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Dental Team Pllc 9709 Lakeside Blvd Ste 350 Spring TX 77381-1216 Ph: (713) 489-2198 | Kentucky Dental Team Pllc 2800 Cannons Ln Ste 100 Louisville KY 40205-2173 Ph: (502) 813-8604 |
| NPI Number | 1003768755 |
|---|---|
| Provider Enumeration Date | 02/13/2026 |
| Last Update Date | 02/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003768755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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