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

Kusom Pediatric Dental South PLLC

Organization Pediatric Dentistry · NPI 1669011235

Kusom Pediatric Dental South PLLC is a Pediatric Dentistry in San Antonio, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1134 Culebra Rd Ste 109
San Antonio, TX 78201-6080
Phone: (210) 888-0700
Fax: (210) 625-7398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1669011235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oshmi Dutta — Ceo · (210) 888-0700
Other names Great Kids Dental; Great Kids Dental
NPI enumeratedDecember 31, 2019
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address18707 Hardy Oak Blvd Ste 305, San Antonio, TX 78258-4895

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