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

Montry S. Suprono, DDS

Individual provider Prosthodontics · NPI 1821249913

Montry S. Suprono, DDS is a Prosthodontics in Loma Linda, 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

11092 Anderson Street Llu School Of Dentistry
Loma Linda, CA 92350-0001
Phone: (909) 558-4613
Fax: (909) 558-4192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 56324 (CA)

Record details

NPI number1821249913
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 7, 2008
Last updated in NPPESOctober 7, 2008

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