ELITE SMILES
NPI 1104141316
Dentist - Orthodontics and Dentofacial Orthopedics in Tustin, CA

Active since March 30, 2010
12791 NEWPORT AVE STE 208, TUSTIN, CA 92780(714) 544-1740 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elite Smiles NPPES

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

ELITE SMILES (NPI 1104141316) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Tustin, California and active in the NPI registry since March 2010. The organization lists Henry C Schuppert, President, as its authorized official.

NPPES Registry Identity

NPI1104141316
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSCHUPPET DENTAL CORPORATION
Location Address12791 NEWPORT AVE STE 208Tustin, CA 92780-8023
Mailing Address20062 Sw Birch St Ste 220Newport Beach, CA 92660-1519 · (949) 863-9620 · Fax (949) 271-4931
Organization SubpartNo
Authorized OfficialHenry C SchuppertPresident · (949) 863-9620
Enumeration DateMarch 30, 2010
NPI 1104141316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 54324
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

12791 NEWPORT AVE STE 208, Tustin, CA 92780

Other Names 1

Doing Business AsElite Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104141316, enumerated as an "organization" on March 30, 2010.

The provider is located at 12791 NEWPORT AVE STE 208 TUSTIN, CA 92780 and the phone number is (714) 544-1740.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.