Sulaeman Professional Dental, Inc.
NPI 1063537538 · General Practice Dentistry · San Bernardino, CA
Sulaeman Professional Dental, Inc. is a General Practice Dentistry organization in San Bernardino, CA (NPI 1063537538).
Provider details
- NPI number
- 1063537538
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Audrey Sulaeman, Dentist(909) 889-9591
- License
- 37166 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Other name
- Wijaya Sulaeman, D.D.S.
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Sulaeman Professional Dental, Inc.'s NPI number?
- Sulaeman Professional Dental, Inc.'s National Provider Identifier (NPI) is 1063537538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sulaeman Professional Dental, Inc.?
- Sulaeman Professional Dental, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sulaeman Professional Dental, Inc. located?
- Sulaeman Professional Dental, Inc.'s practice location on file with NPPES is 25054 Base Line St, San Bernardino, CA 92410-4026.
- What is Sulaeman Professional Dental, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sulaeman Professional Dental, Inc. is (909) 889-9591.
- Who is the authorized official for Sulaeman Professional Dental, Inc.?
- The authorized official listed on Sulaeman Professional Dental, Inc.'s NPPES record is Audrey Sulaeman, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sulaeman Professional Dental, Inc.'s NPI active?
- Yes — Sulaeman Professional Dental, Inc.'s NPI (1063537538) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.