| Sukkawala Nevada Dental Team, Pllc | |
|
4275 Burnham Ave Ste 101 Las Vegas NV 89119-5400 | |
| (702) 470-2948 | |
| Not Available |
| Full Name | Sukkawala Nevada Dental Team, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4275 Burnham Ave Ste 101, Las Vegas, Nevada |
| Authorized Official Name and Position | Ketan Sukkawala (OWNER) |
| Authorized Official Contact | 7134892198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sukkawala Nevada Dental Team, Pllc 9709 Lakeside Blvd Ste 350 Spring TX 77381-1216 Ph: (713) 489-2198 | Sukkawala Nevada Dental Team, Pllc 4275 Burnham Ave Ste 101 Las Vegas NV 89119-5400 Ph: (702) 470-2948 |
| NPI Number | 1528646569 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 06/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528646569 | NPI | - | NPPES |
| 250013104 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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