GREAT KIDS DENTAL
NPI 1669011235
Dentist - Pediatric Dentistry in San Antonio, TX

Q: What is Kusom Pediatric Dental South PLLC's NPI number?

The NPI number for Kusom Pediatric Dental South PLLC is 1669011235. It was assigned to this organization in the NPPES registry on December 31, 2019. The provider is doing business as Great Kids Dental.

Q: What is Kusom Pediatric Dental South PLLC's specialty?

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

Active since December 31, 2019

1134 CULEBRA RD STE 109, SAN ANTONIO, TX 78201(210) 888-0700(210) 625-7398 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2020, Jan 16, 2020, Dec 31, 2019 (3 updates tracked since 2019).

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About Great Kids Dental NPPES

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

GREAT KIDS DENTAL (NPI 1669011235) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since December 2019. The organization lists Oshmi Dutta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669011235

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKUSOM PEDIATRIC DENTAL SOUTH PLLC

Location Address1134 CULEBRA RD STE 109San Antonio, TX 78201-6080

Mailing Address18707 Hardy Oak Blvd Ste 305San Antonio, TX 78258-4895 · (210) 888-0700 · Fax (210) 625-7398

Phone(210) 888-0700

Fax(210) 625-7398

Organization SubpartNo

Authorized OfficialOshmi DuttaCeo · (210) 888-0700

Enumeration DateDecember 31, 2019

Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration

NPPES CertifiedOctober 13, 2020

✔ NPI 1669011235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

1134 CULEBRA RD STE 109, San Antonio, TX 78201

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Other Names 1

Doing Business AsGreat Kids Dental

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Kusom Pediatric Dental South PLLC's NPI number?

The NPI number for Kusom Pediatric Dental South PLLC is 1669011235. It was assigned to this organization in the NPPES registry on December 31, 2019. The provider is doing business as Great Kids Dental.

Where is Kusom Pediatric Dental South PLLC located?

Kusom Pediatric Dental South PLLC is located at 1134 Culebra Rd Ste 109, San Antonio, TX 78201. The listed phone number is (210) 888-0700.

What is Kusom Pediatric Dental South PLLC'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 Kusom Pediatric Dental South PLLC was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.