Mavern Suprono, DDS

Dentist · Colton, CA

Individual Active NPI

NPI number 1023239944

Practice location

1080 E Washington
B
Colton, CA 92324
Phone
(909) 783-9099

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NPI record

NPI
1023239944
Entity type
Individual (Type 1)
Enumeration date
May 1, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 27842 CA

Mailing address

PO Box 903
Loma Linda, CA 92354
Phone
(909) 783-9099

About Dr. Suprono

Mavern Suprono, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1080 E Washington, B, Colton, CA 92324. The NPI number 1023239944 was assigned on May 1, 2007 and the record was last updated on July 8, 2007.

Dr. Suprono lists a license in the registry: #27842 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mavern Suprono, DDS?

The NPI number is 1023239944.

What is the phone number of Dr. Suprono?

The phone number listed for the practice location is (909) 783-9099.

Where is Dr. Suprono located?

1080 E Washington, B, Colton, CA 92324.

What is the taxonomy code for Dr. Suprono?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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