Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kusom Pediatric Dental South PLLC

Organization Pediatric Dentistry · NPI 1669011235

Kusom Pediatric Dental South PLLC provides 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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