OrganizationActive
Kusom Pediatric Dental South PLLC
NPI 1669011235 · Pediatric Dentistry · San Antonio, TX
Kusom Pediatric Dental South PLLC is a Pediatric Dentistry organization in San Antonio, TX (NPI 1669011235).
Provider details
- NPI number
- 1669011235
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Oshmi Dutta, Ceo(210) 888-0700
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1134 Culebra Rd Ste 109
San Antonio, TX 78201-6080
Phone: (210) 888-0700
Fax: (210) 625-7398
Street-level locationGet directions
Mailing address
18707 Hardy Oak Blvd Ste 305
San Antonio, TX 78258-4895
Other names (DBA / former)
- Doing business as
- Great Kids Dental
- Doing business as
- Great Kids Dental
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2020-10-13
- Certified
- 2020-10-13
Frequently asked questions
- What is Kusom Pediatric Dental South PLLC's NPI number?
- Kusom Pediatric Dental South PLLC's National Provider Identifier (NPI) is 1669011235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kusom Pediatric Dental South PLLC?
- Kusom Pediatric Dental South PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kusom Pediatric Dental South PLLC located?
- Kusom Pediatric Dental South PLLC's practice location on file with NPPES is 1134 Culebra Rd Ste 109, San Antonio, TX 78201-6080.
- What is Kusom Pediatric Dental South PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kusom Pediatric Dental South PLLC is (210) 888-0700.
- Who is the authorized official for Kusom Pediatric Dental South PLLC?
- The authorized official listed on Kusom Pediatric Dental South PLLC's NPPES record is Oshmi Dutta, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kusom Pediatric Dental South PLLC's NPI active?
- Yes — Kusom Pediatric Dental South PLLC's NPI (1669011235) is active in the NPPES registry as of the last update on 2020-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.