Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pauline H. Susanto, DDS

Individual provider Dentist · NPI 1063626976

Dr. Pauline H. Susanto, DDS is a Dentist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645
Phone: (415) 337-9009
Fax: (844) 273-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 27562 (CA)

Record details

NPI number1063626976
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESFebruary 11, 2016

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