OrganizationActive
Kentucky Dental Team PLLC
NPI 1003768755 · Pediatric Dentistry · Louisville, KY
Kentucky Dental Team PLLC is a Pediatric Dentistry organization in Louisville, KY (NPI 1003768755).
Provider details
- NPI number
- 1003768755
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ketan Sukkawala, Owner(631) 445-0593
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2800 Cannons Ln Ste 100
Louisville, KY 40205-2173
Phone: (502) 813-8604
Fax: (502) 813-8612
Street-level locationGet directions
Mailing address
9709 Lakeside Blvd Ste 350
Spring, TX 77381-1216
Registry dates
- Enumerated
- 2026-02-13
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Frequently asked questions
- What is Kentucky Dental Team PLLC's NPI number?
- Kentucky Dental Team PLLC's National Provider Identifier (NPI) is 1003768755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentucky Dental Team PLLC?
- Kentucky Dental Team PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kentucky Dental Team PLLC located?
- Kentucky Dental Team PLLC's practice location on file with NPPES is 2800 Cannons Ln Ste 100, Louisville, KY 40205-2173.
- What is Kentucky Dental Team PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kentucky Dental Team PLLC is (502) 813-8604.
- Who is the authorized official for Kentucky Dental Team PLLC?
- The authorized official listed on Kentucky Dental Team PLLC's NPPES record is Ketan Sukkawala, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentucky Dental Team PLLC's NPI active?
- Yes — Kentucky Dental Team PLLC's NPI (1003768755) is active in the NPPES registry as of the last update on 2026-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.