NPI 1003768755

Kentucky Dental Team PLLC

Organisation Pediatric Dentistry Louisville, KY

Practice location

Address: 2800 Cannons Ln STE 100, Louisville, KY 40205-2173
Phone: (502) 813-8604
Fax: (502) 813-8612
Mailing address: 9709 Lakeside Blvd STE 350, Spring, TX 77381-1216

Authorised official

Name: Ketan Sukkawala
Title: Owner
Phone: (631) 445-0593

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X

Other Dentist providers in Kentucky →

Registry record

NPI: 1003768755
Entity type: Organization
NPI issued: 13 Feb 2026
Record last updated: 13 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.