Montry S. Suprono is a Loma Linda, California based Prosthodontics who is specialized in Prosthetic Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Montry S. Suprono is 56324 for Prosthetic Dentistry in California. His current practice location is 11092 Anderson Street, Llu School Of Dentistry, Loma Linda. Patients can reach him at 909-558-4613.
Montry S. Suprono specialized in 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.
Complete Profile:
Montry S. Suprono speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Montry S. Suprono
Specialization:
Prosthodontics
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
11092 Anderson Street, Llu School Of Dentistry, Loma Linda, California, 92350-0001
Phone:
909-558-4613
Fax:
909-558-4192
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821249913
NPI Enumeration Date:
07 Oct, 2008
NPI Last Update On:
07 Oct, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Montry S. Suprono are as mentioned below.
License Number
Specialization
State
Status
56324
Prosthetic Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Montry S. Suprono such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
56324
Other
California
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11092 Anderson Street, Llu School Of Dentistry Loma Linda, California
Zip:
92350-0001
Phone Number:
909-558-4613
Fax Number:
909-558-4192
Patients can reach Montry S. Suprono at 11092 Anderson Street, Llu School Of Dentistry, Loma Linda, California or can call to book an appointment on 909-558-4613. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.