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

Dr. Peter Robertson Sumarsono, DDS

Individual provider General Practice Dentistry · NPI 1568617587

Dr. Peter Robertson Sumarsono, DDS is a General Practice Dentistry in Irvine, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

62 Corporate Park Barranca Medical Plz Ste 200
Irvine, CA 92606
Phone: (714) 864-8261
Fax: (714) 572-0572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40736 (CA)

Record details

NPI number1568617587
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 18, 2008
Last updated in NPPESJanuary 12, 2010
Mailing address17092 Vista Moraga, Yorba Linda, CA 92886-6209

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