OrganizationActive
Colorado Dental Team Professional
NPI 1639847510 · Pediatric Dentistry · Westminster, CO
Provider details
- NPI number
- 1639847510
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ketan Sukkawala, Owner(979) 450-1116
Specialties & taxonomies
Dental Providers
Practice location
10170 Church Ranch Way Unit 110
Westminster, CO 80021-6059
Phone: (720) 330-5571
Approximate (ZIP-level) locationGet directions
Mailing address
182 Industrial Rd
Glen Rock, PA 17327-8626
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2023-03-21
- Certified
- 2023-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.