Mavern Suprono Dds Inc in Loma Linda - Dentist
Mavern Suprono Dds Inc - NPI 1477622165
Mavern Suprono Dds Inc is a Dentist in Loma Linda, California. Mavern Suprono Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mavern Suprono Dds Inc is 1477622165. The last update date is 2020-08-22.
Mavern Suprono Dds Inc's current location address is Po Box 903, Loma Linda, California. You can contact this provider via phone number 9097839099 and fax number 9098241677. The mailing address for Mavern Suprono Dds Inc is Po Box 903, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mavern Suprono Dds Inc |
|---|---|
| Address | Po Box 903, Loma Linda, California |
| Phone Number | 9097839099 |
| Fax Number | 9098241677 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Suprono S Mavern |
| Credentials | DDS |
| Telephone Number | 9097839099 |
NPI Number Detail
| NPI Number | 1477622165 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 903 |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 92354 |
| Phone Number | 9097839099 |
| Fax Number | 9098241677 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Post Comment/ Review Below
What is the unique identification code assigned to Mavern Suprono Dds Inc by the Centers for Medicare & Medicaid Services?
The Mavern Suprono Dds Inc has been issued the NPI (National Provider Identifier) 1477622165. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mavern Suprono Dds Inc is physically located?
The Mavern Suprono Dds Inc is situated at the following address: Po Box 903, Loma Linda, CA 92354.
What is Mavern Suprono Dds Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mavern Suprono Dds Inc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Mavern Suprono Dds Inc receive its 1477622165 assignment from the Centers for Medicare & Medicaid Services?
The Mavern Suprono Dds Inc was assigned its 1477622165 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mavern Suprono Dds Inc most recently updated or revised?
The details related to Mavern Suprono Dds Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1447253067
Address: 2115 N Kansas Ave Ste 105, Hastings, NE
NPI Number: 1306849773
Address: 3200 Ponce De Leon Blvd, Coral Gables, FL
NPI Number: 1053315846
Address: 1455 E Bert Kouns Loop, Shreveport, LA
NPI Number: 1164426896
Address: 600 Grant Street, Us Steel Tower, 59th Floor, Pittsburgh, PA