Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ktam DDS Dental Corp

Organization Pediatric Dentistry · NPI 1609181858

Ktam DDS Dental Corp is a Pediatric Dentistry in Santa Maria, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1505 Shepard Dr #201
Santa Maria, CA 93454-7020
Phone: (949) 322-9778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 57293 (CA)

Record details

NPI number1609181858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Tam — Ceo · (949) 322-9778
NPI enumeratedAugust 12, 2010
Last updated in NPPESOctober 8, 2010
Mailing address1505 Shepard Dr, 201, Santa Maria, CA 93454-7020

Other providers in Santa Maria