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Pauline Susanto, D.D.S.
NPI 1063626976 · Dentist · San Francisco, CA
Pauline Susanto, D.D.S. is a Dentist provider in San Francisco, CA (NPI 1063626976).
Provider details
- NPI number
- 1063626976
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27562 (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
2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645
Phone: (415) 337-9009
Fax: (844) 273-9010
Street-level locationGet directions
Mailing address
2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2016-02-11
Frequently asked questions
- What is Pauline Susanto's NPI number?
- Pauline Susanto's National Provider Identifier (NPI) is 1063626976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pauline Susanto's specialty?
- Pauline Susanto is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Pauline Susanto located?
- Pauline Susanto's practice location on file with NPPES is 2555 Ocean Ave Ste 204, San Francisco, CA 94132-1645.
- What is Pauline Susanto's phone number?
- The practice phone number listed in the NPPES registry for Pauline Susanto is (415) 337-9009.
- Is Pauline Susanto's NPI active?
- Yes — Pauline Susanto's NPI (1063626976) is active in the NPPES registry as of the last update on 2016-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.