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: July 19, 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.

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

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

The NPI number assigned to this healthcare provider is 1518749050, enumerated as an "individual" on October 18, 2023.

The provider is located at 15290 BEAR VALLEY RD STE B VICTORVILLE, CA 92395 and the phone number is (760) 493-3215.

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

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.