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MONTRY S. SUPRONO DDS
NPI 1821249913
Dentist - Prosthodontics in Loma Linda, CA

Active since October 07, 2008
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY, LOMA LINDA, CA 92350(909) 558-4613(909) 558-4192 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montry S. Suprono Dds NPPES

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

MONTRY S. SUPRONO DDS (NPI 1821249913) is an individual prosthodontics provider in Loma Linda, California, licensed in California (56324) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1821249913
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameMONTRY S. SUPRONOCredential: DDS
Location Address11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRYLoma Linda, CA 92350-0001
Mailing Address11092 Anderson Street, Llu School Of DentistryLoma Linda, CA 92350-0001 · (909) 558-4613 · Fax (909) 558-4192
Phone(909) 558-4613
Fax(909) 558-4192
Sole ProprietorNo
Enumeration DateOctober 7, 2008
✔ NPI 1821249913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 56324
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
11092 ANDERSON STREET, Loma Linda, CA 92350
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Other Identifiers 1

Other56324CA · State License

Other Providers at the Same Location NPPES 20

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

D. DARLENE CHEEK RDH, MPH
Dental Hygienist
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613
WENDY CHRISTINA GREGORIUS DDS
Dentist (Prosthodontics)
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613
IRIS HYUNJOO NAM DDS
Dentist (General Practice)
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613
COLLEEN ANN WHITT BS, RDH
Dental Hygienist
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613
DELIGHT SMITH CONSIGLIO RDH
Dental Hygienist
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613
CARRIE DAVIES BS, RDH
Dental Hygienist
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613
LOMA LINDA UNIVERSITY
Clinic/Center (Dental)
11092 ANDERSON STREET, ROOM 1147
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4611
PATTY G. TAPPEN BS, RDH
Dental Hygienist
11092 ANDERSON STREET, LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4613

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 Montry Suprono's NPI number?

The NPI number for Montry Suprono is 1821249913. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Montry Suprono located?

Montry Suprono practices at 11092 Anderson Street Llu School Of Dentistry, Loma Linda, CA 92350. The listed phone number is (909) 558-4613.

What is Montry Suprono's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Montry Suprono was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.