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

Individual provider General Practice Dentistry · NPI 1487872917

Dr. Supattra Supatanasinkasem, DDS is a General Practice Dentistry in Downey, 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

10909 Lakewood Blvd
Downey, CA 90241-3808
Phone: (562) 869-8177
Fax: (562) 869-8177
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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 30656 (CA)

Record details

NPI number1487872917
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 22, 2007
Last updated in NPPESJuly 8, 2007

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