SUSANTO DENTAL CORPORATION
NPI 1609061720
Dentist in La Puente, CA

Q: What is Susanto Dental Corporation's NPI number?

The NPI number for Susanto Dental Corporation is 1609061720. It was assigned to this organization in the NPPES registry on September 11, 2007.

Q: What is Susanto Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 11, 2007

1240 N HACIENDA BLVD STE 103, LA PUENTE, CA 91744(626) 931-2525(626) 931-2527 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Susanto Dental Corporation NPPES

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

SUSANTO DENTAL CORPORATION (NPI 1609061720) is a healthcare organization registered as a dentist in La Puente, California and active in the NPI registry since September 2007. The organization lists Hanny Susanto, President, as its authorized official.

NPPES Registry Identity

NPI1609061720

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSUSANTO DENTAL CORPORATION

Location Address1240 N HACIENDA BLVD STE 103La Puente, CA 91744-1663

Mailing Address10226 Olive StTemple City, CA 91780-3346 · (626) 401-0747 · Fax (626) 401-0844

Phone(626) 931-2525

Fax(626) 931-2527

Organization SubpartNo

Authorized OfficialHanny SusantoPresident · (626) 401-0747

Enumeration DateSeptember 11, 2007

✔ NPI 1609061720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 39482

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1240 N HACIENDA BLVD STE 103, La Puente, CA 91744

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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

Other Providers at the Same Location NPPES 4

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

MING ZHANG DDS INC.

Dentist (General Practice)

1240 N HACIENDA BLVD STE 103
LA PUENTE, CA 91744

Los Angeles County (626) 931-2525

MING REN ZHANG

Dentist

1240 N HACIENDA BLVD STE 103
LA PUENTE, CA 91744

Los Angeles County (269) 312-5256

MING REN ZHANG DDS INC A PROFESSIONAL CORPORATION

Dentist (General Practice)

1240 N HACIENDA BLVD STE 103
LA PUENTE, CA 91744

Los Angeles County (626) 931-2525

DR. LISIANA RUSLI DDS

Dentist (General Practice)

1240 N HACIENDA BLVD STE 103
LA PUENTE, CA 91744

Los Angeles County (626) 931-2525

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 Susanto Dental Corporation's NPI number?

The NPI number for Susanto Dental Corporation is 1609061720. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Susanto Dental Corporation located?

Susanto Dental Corporation is located at 1240 N Hacienda Blvd Ste 103, La Puente, CA 91744. The listed phone number is (626) 931-2525.

What is Susanto Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Susanto Dental Corporation was last updated on September 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.