P Praxis·MD
● Active Type 2 · Organization

Brazos Valley Smiles, Pc

Clinic/Center·College Station, TX· NPI 1386924694 · Enumerated 2011 · 14 years on NPI
Brazos Valley Smiles, Pc is 1 of 1762 clinic/center organizations in Texas.
NPI age
14 years
Enumerated 2011-08-18
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Sukkawala
President
Last NPPES update
2019-06-11
Source: monthly bulk 2026-05

How this organization compares

Across 1762 active clinic/center providers in Texas.

NPI age
14 years
↑ 8 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-08Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1103 Rock Prairie Rd Ste 1001
College Station, TX 778458344
📞 9796945200fax 9796945223
Mailing address
1103 Rock Prairie Rd Ste 1001
College Station, TX 778458344
📞 9796945200fax 9796945223

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1109 Rock Prairie Rd, Ste. 300
College Station, TX 778458651
📞 9796945200

Authorized official

Ketan Arun Sukkawala, DDS
President
📞 9796945200

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #19635 taxonomy 261QD0000X

Identifiers

TypeValueNotes
05 (TX) 280969101
05 (TX) 009547301
01 (TX) 26291 DENTAL LICENSE NUMBER
05 (TX) 090878203
01 (TX) 12102 DENTAL LICENSE NUMBER
01 (TX) 19635 DENTAL LICENSE NUMBER
05 (TX) 316310702
01 (TX) 26496 DENTAL LICENSE NUMBER

Practice context

Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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