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RICHARD I SUTEDJA DDS
NPI 1235337536
Dentist - General Practice in Fremont, CA

Active since July 07, 2007
4545 MATTOS DR, FREMONT, CA 94536(510) 797-3769(510) 797-3154 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard I Sutedja Dds NPPES

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

RICHARD I SUTEDJA DDS (NPI 1235337536) is an individual general practice provider in Fremont, California, licensed in California (33710) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1235337536
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRICHARD I SUTEDJACredential: DDS
Location Address4545 MATTOS DRFremont, CA 94536-6736
Mailing Address4545 Mattos DrFremont, CA 94536-6736 · (510) 797-3769 · Fax (510) 797-3154
Phone(510) 797-3769
Fax(510) 797-3154
Sole ProprietorYes
Enumeration DateJuly 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235337536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 33710
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4545 MATTOS DR, Fremont, CA 94536
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREMONT ORAL & MAXILLOFACIAL SURGERY
Oral & Maxillofacial Surgery
4545 MATTOS DR
FREMONT, CA 94536
Alameda County (510) 792-9405
DR. LINN HTET MAUNG M.D
Student in an Organized Health Care Education/Training Program
4545 MATTOS DR
FREMONT, CA 94536
Alameda County (415) 476-1239
DR. CHIRAG MADHUSUDAN PATEL D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
4545 MATTOS DR
FREMONT, CA 94536
Alameda County (510) 792-9405

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 Richard Sutedja's NPI number?

The NPI number for Richard Sutedja is 1235337536. It was assigned to this individual provider in the NPPES registry on July 7, 2007.

Where is Richard Sutedja located?

Richard Sutedja practices at 4545 Mattos Dr, Fremont, CA 94536. The listed phone number is (510) 797-3769.

What is Richard Sutedja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Richard Sutedja 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.