Individual provider · Type 1 NPI
Kunjumary John Kolathu, DDS
General Practice Dentistry · Austin, TX
NPI number
1861922908
Active
Practice location
Blunn Creek Family Dentistry, 2550 S I-35 Frontage Rd # 210, Austin, Tx 78704
Austin, TX 78704
Fax (512) 956-8919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 32962 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1861922908
Kunjumary John Kolathu, DDS's National Provider Identifier is 1861922908, issued on Jun 12, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Nov 3, 2025.