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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WIJAYA SULAEMAN D.D.S., M.A.G.D.
NPI 1932101706
Dentist - General Practice in San Bernardino, CA

Active since August 11, 2005
25054 BASE LINE ST, SAN BERNARDINO, CA 92410(909) 889-9591(909) 889-8721 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wijaya Sulaeman D.d.s., M.a.g.d. NPPES

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

DR. WIJAYA SULAEMAN D.D.S., M.A.G.D. (NPI 1932101706) is an individual general practice provider in San Bernardino, California, licensed in California (37166) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1932101706
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WIJAYA SULAEMANCredential: D.D.S., M.A.G.D.
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 DateAugust 11, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1932101706 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 · 37166
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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
INDHIRA AUDREY H. SULAEMAN D.D.S.
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 Wijaya Sulaeman's NPI number?

The NPI number for Wijaya Sulaeman is 1932101706. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Wijaya Sulaeman located?

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

What is Wijaya Sulaeman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Wijaya Sulaeman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Wijaya Sulaeman 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 Wijaya Sulaeman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.