IndividualActive
Mavern Suprono, DDS
NPI 1023239944 · Dentist · Colton, CA
Mavern Suprono, DDS is a Dentist provider in Colton, CA (NPI 1023239944).
Provider details
- NPI number
- 1023239944
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 27842 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1080 E Washington
B
Colton, CA 92324
Phone: (909) 783-9099
Street-level locationGet directions
Mailing address
Po Box 903
Loma Linda, CA 92354
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mavern Suprono's NPI number?
- Mavern Suprono's National Provider Identifier (NPI) is 1023239944, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mavern Suprono's specialty?
- Mavern Suprono is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Mavern Suprono located?
- Mavern Suprono's practice location on file with NPPES is 1080 E Washington, Colton, CA 92324.
- What is Mavern Suprono's phone number?
- The practice phone number listed in the NPPES registry for Mavern Suprono is (909) 783-9099.
- Is Mavern Suprono's NPI active?
- Yes — Mavern Suprono's NPI (1023239944) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.