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INDHIRA AUDREY H. SULAEMAN D.D.S.
NPI 1851664601
Dentist - General Practice in San Bernardino, CA

Active since February 09, 2012
25054 BASE LINE ST, SAN BERNARDINO, CA 92410(909) 889-9591(909) 889-8721 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indhira Audrey H. Sulaeman D.d.s. NPPES

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

INDHIRA AUDREY H. SULAEMAN D.D.S. (NPI 1851664601) is an individual general practice provider in San Bernardino, California, licensed in California (36549) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1851664601
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameINDHIRA AUDREY H. SULAEMANCredential: D.D.S.
Location Address25054 BASE LINE STSan Bernardino, CA 92410-4026
Mailing Address25054 Base Line StSan Bernardino, CA 92410-4026 · (909) 889-9591 · Fax (909) 889-8721
Phone(909) 889-9591
Fax(909) 889-8721
Sole ProprietorNo
Enumeration DateFebruary 9, 2012
Last NPPES UpdateAugust 6, 2012
✔ NPI 1851664601 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 · 36549
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.
25054 BASE LINE ST, San Bernardino, CA 92410
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Other Names 1

Former Name (1)Indhira Hadisubroto Sulaeman D.d.s.

Other Providers at the Same Location NPPES 5

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

SULAEMAN PROFESSIONAL DENTAL, INC.
Dentist (General Practice)
25054 BASE LINE ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-9591
DAVID A.H. SAPUTRA D.D.S.
Dentist (General Practice)
25054 BASE LINE ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-9591
AARON ANTHONY SULAEMAN D.D.S.
Dentist
25054 BASE LINE ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-9591
MIKE XING DDS
Dentist (General Practice)
25054 BASE LINE ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-9591
DR. WIJAYA SULAEMAN D.D.S., M.A.G.D.
Dentist (General Practice)
25054 BASE LINE ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 889-9591

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 Indhira Audrey Sulaeman's NPI number?

The NPI number for Indhira Audrey Sulaeman is 1851664601. It was assigned to this individual provider in the NPPES registry on February 9, 2012. The provider is also known as Indhira Hadisubroto Sulaeman D.D.S..

Where is Indhira Audrey Sulaeman located?

Indhira Audrey Sulaeman practices at 25054 Base Line St, San Bernardino, CA 92410. The listed phone number is (909) 889-9591.

What is Indhira Audrey Sulaeman'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 Indhira Audrey Sulaeman was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.