PETER SUMARSONO PROFESSIONAL DENTAL CORPORATION
NPI 1033596788
Preferred Provider Organization in Huntington Beach, CA

Q: What is Peter Sumarsono Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since May 01, 2015

9110 ADAMS AVENUE, HUNTINGTON BEACH, CA 92646(714) 968-4487(714) 968-1146 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Peter Sumarsono Professional Dental Corporation NPPES

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

PETER SUMARSONO PROFESSIONAL DENTAL CORPORATION (NPI 1033596788) is a healthcare organization registered as a preferred provider organization in Huntington Beach, California and active in the NPI registry since May 2015. The organization lists Peter Robertson Sumarsono, Dentist, as its authorized official.

NPPES Registry Identity

NPI1033596788

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NamePETER SUMARSONO PROFESSIONAL DENTAL CORPORATION

Location Address9110 ADAMS AVENUEHuntington Beach, CA 92646

Mailing Address18543 Yorba Linda Blvd. #250Yorba Linda, CA 92886

Phone(714) 968-4487

Fax(714) 968-1146

Organization SubpartNo

Authorized OfficialPeter Robertson SumarsonoDentist · (714) 864-8261

Enumeration DateMay 1, 2015

✔ NPI 1033596788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in CA · 40736

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

9110 ADAMS AVENUE, Huntington Beach, CA 92646

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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 Peter Sumarsono Professional Dental Corporation's NPI number?

The NPI number for Peter Sumarsono Professional Dental Corporation is 1033596788. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Peter Sumarsono Professional Dental Corporation located?

Peter Sumarsono Professional Dental Corporation is located at 9110 Adams Avenue, Huntington Beach, CA 92646. The listed phone number is (714) 968-4487.

What is Peter Sumarsono Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Peter Sumarsono Professional Dental Corporation was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.