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IndividualActivePrescriber

Mr. Mavern Suprono

DDS

Dentist

NPI: 1023239944Colton, California, 92324(909) 783-9099Male

About Mr. Mavern Suprono

Mr. Mavern Suprono, DDS, is a male healthcare professional specializing in Dentist, registered under National Provider Identifier (NPI) number 1023239944. Their primary practice is located at 1080 E WASHINGTON, Colton, California 92324.

Patients can reach the office at (909) 783-9099. Mr. Mavern Suprono is authorized to prescribe medications. Mr. Mavern Suprono has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1023239944
Entity Type
Individual
First Name
Mavern
Last Name
Suprono
Credential
DDS
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1080 E WASHINGTON
City
Colton
State
California
ZIP
92324
Country
United States
Phone
(909) 783-9099

Specialty & Taxonomy

Primary Specialty
Dentist
Classification
Dentist
Taxonomy Code
122300000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 903
City
LOMA LINDA
State
CA
ZIP
92354

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Mr. Mavern Suprono's NPI number?
Mr. Mavern Suprono's National Provider Identifier (NPI) is 1023239944. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Mavern Suprono specialize in?
Mr. Mavern Suprono specializes in Dentist.
Where is Mr. Mavern Suprono located?
Mr. Mavern Suprono practices at 1080 E WASHINGTON, Colton, California 92324. You can reach them by phone at (909) 783-9099.
Does Mr. Mavern Suprono accept Medicare?
Based on available data, Mr. Mavern Suprono is not currently enrolled in the Medicare program.
Does Mr. Mavern Suprono offer telehealth or virtual visits?
Mr. Mavern Suprono does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mr. Mavern Suprono prescribe medications?
Yes, Mr. Mavern Suprono is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Mavern Suprono is 1023239944.