Suket PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012835 Issued in GA

Legal business name

SUKET PC

Practice address

1235 Indian Trail Rd
Norcross, GA 30093-4502

Phone

(770) 931-1333

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By 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

Dr. Ketankumar G Patel, DMD

Title

Dentist

Phone

(770) 931-1333

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1609128818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDIAN TRAIL RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934502",
            "telephone_number": "770-931-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETANKUMAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-931-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012835",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lee Strickland, D.C.
• Tricia Strickland, APRN
• Stride Foot & Ankle Center, LLC
• Holly Stuckey, LCSW
• Hanoy Suggs
• Emily Anne Muscarella Sule, DC
• Regina McCollum Sullivan, O.D.
• Laconya Sumbry
• Steilan Iman Sumpter, PA-C
• Sunrise Pharmacy

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.