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KTAM DDS DENTAL CORP
NPI 1609181858
Dentist - Pediatric Dentistry in Santa Maria, CA

Active since August 12, 2010
1505 SHEPARD DR, #201, SANTA MARIA, CA 93454(949) 322-9778 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ktam Dds Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KTAM DDS DENTAL CORP (NPI 1609181858) is a healthcare organization registered as a pediatric dentistry in Santa Maria, California and active in the NPI registry since August 2010. The organization lists Keith Tam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609181858
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKTAM DDS DENTAL CORP
Location Address1505 SHEPARD DR, #201Santa Maria, CA 93454-7020
Mailing Address1505 Shepard Dr, #201Santa Maria, CA 93454-7020 · (949) 322-9778
Phone(949) 322-9778
Organization SubpartNo
Authorized OfficialKeith TamCeo · (949) 322-9778
Enumeration DateAugust 12, 2010
Last NPPES UpdateOctober 8, 2010
✔ NPI 1609181858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 57293
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1505 SHEPARD DR, Santa Maria, CA 93454
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENITA KHO YOUNG MD
Pediatrics (Adolescent Medicine)
1505 SHEPARD DR, STE 103
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-0439
HILLEL K JANAI PEDIATRICS INC
Pediatrics
1505 SHEPARD DR, 103
SANTA MARIA, CA 93454
Santa Barbara County (805) 588-8829
DR. ERIC DANIEL KIRK D.D.S.
Dentist (General Practice)
1505 SHEPARD DR, SUITE 202
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-1425
KISHOR D POPAT M. D.
Specialist
1505 SHEPARD DR, SUITE 203
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-6990
MUDIT DABRAL, M.D.
Internal Medicine (Pulmonary Disease)
1505 SHEPARD DR, SUITE 105
SANTA MARIA, CA 93454
Santa Barbara County (805) 928-9770
DR. DAVID MICHAEL COTTRELL D.D.S.
Dentist (Pediatric Dentistry)
1505 SHEPARD DR, SUITE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-2888
MUDIT DABRAL MD
Internal Medicine (Pulmonary Disease)
1505 SHEPARD DR, SUITE 105
SANTA MARIA, CA 93454
Santa Barbara County (805) 928-9770
SANTA MARIA NEPHROLOGY MEDICAL GROUP
Internal Medicine (Nephrology)
1505 SHEPARD DR
SANTA MARIA, CA 93454
Santa Barbara County (805) 245-9340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ktam Dds Dental Corp's NPI number?

The NPI number for Ktam Dds Dental Corp is 1609181858. It was assigned to this organization in the NPPES registry on August 12, 2010.

Where is Ktam Dds Dental Corp located?

Ktam Dds Dental Corp is located at 1505 Shepard Dr #201, Santa Maria, CA 93454. The listed phone number is (949) 322-9778.

What is Ktam Dds Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ktam Dds Dental Corp was last updated on October 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.