DR. JESSICA SUHARDJO DMD, MS
NPI 1518749050
Dentist - Orthodontics and Dentofacial Orthopedics in Victorville, CA

Active since October 18, 2023
15290 BEAR VALLEY RD STE B, VICTORVILLE, CA 92395(760) 493-3215 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jessica Suhardjo Dmd, Ms NPPES

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

DR. JESSICA SUHARDJO DMD, MS (NPI 1518749050) is an individual orthodontics and dentofacial orthopedics provider in Victorville, California, licensed in California (DDS108563) and active in the NPI registry since October 2023. She maintains a secondary practice location in Jurupa Valley.

NPPES Registry Identity

NPI1518749050
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JESSICA SUHARDJOCredential: DMD, MS
Location Address15290 BEAR VALLEY RD STE BVictorville, CA 92395-8515
Mailing Address2167 N 1st AveUpland, CA 91784-1446 · (909) 331-8445
Sole ProprietorYes
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
NPI 1518749050 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 · DDS108563
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.
15290 BEAR VALLEY RD STE B, Victorville, CA 92395

Secondary Practice Location 1

Location 14834 Etiwanda Ave Ste 200Jurupa Valley, CA 91752-1828 · Phone (951) 688-7249

Accepted Insurance

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.

Dentist
15290 BEAR VALLEY RD STE B
VICTORVILLE, CA 92395
Dentist
15290 BEAR VALLEY RD STE B
VICTORVILLE, CA 92395
Dentist
15290 BEAR VALLEY RD STE B
VICTORVILLE, CA 92395

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 Jessica Suhardjo's NPI number?

The NPI number for Jessica Suhardjo is 1518749050. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Jessica Suhardjo located?

Jessica Suhardjo practices at 15290 Bear Valley Rd Ste B, Victorville, CA 92395. The listed phone number is (760) 493-3215.

What is Jessica Suhardjo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Jessica Suhardjo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jessica Suhardjo 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 Jessica Suhardjo was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.