MR. MAVERN SUPRONO DDS
NPI 1023239944
Dentist in Colton, CA

Q: What is Mavern Suprono's NPI number?

The NPI number for Mavern Suprono is 1023239944. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Mavern Suprono's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mavern Suprono was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2007

1080 E WASHINGTON, B, COLTON, CA 92324(909) 783-9099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Mavern Suprono Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAVERN SUPRONO DDS (NPI 1023239944) is an individual dentist in Colton, California, licensed in California (27842) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1023239944

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. MAVERN SUPRONOCredential: DDS

Location Address1080 E WASHINGTON, BColton, CA 92324

Mailing AddressPo Box 903Loma Linda, CA 92354 · (909) 783-9099

Phone(909) 783-9099

Sole ProprietorNo

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023239944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 27842

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1080 E WASHINGTON, Colton, CA 92324

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavern Suprono's NPI number?

The NPI number for Mavern Suprono is 1023239944. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Mavern Suprono located?

Mavern Suprono practices at 1080 E Washington B, Colton, CA 92324. The listed phone number is (909) 783-9099.

What is Mavern Suprono's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mavern Suprono accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Mavern Suprono as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mavern Suprono was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.