Sukkawala Nevada Dental Team, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUKKAWALA NEVADA DENTAL TEAM, PLLC

Practice address

4275 Burnham Ave Ste 101
Las Vegas, NV 89119-5400

Phone

(702) 470-2948

NPI assigned

Mar 31, 2021

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ketan Sukkawala, DDS

Title

Owner

Phone

(713) 489-2198

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1528646569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811216",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-470-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKKAWALA NEVADA DENTAL TEAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "SUKKAWALA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-489-2198",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250013104",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Yejin Suh
• Suhattai Gamnerdsiri, M.D. LTD.
• Phyllis A Suiter, A.P.N.
• Natalie Narumol Sukhaphadhana, P.T., D.P.T.
• Anni Sukiasyan
• Salita Sukuntee, PHARMD, RPH
• Deandrews Sulbaran
• Yeseniya Suleymanova, RT
• John L. Sulgrove, M.P.T.
• Tyler Sulhoff

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.