OrganizationActive
Schuppet Dental Corporation
NPI 1104141316 · Orthodontics and Dentofacial Orthopedics Dentistry · Tustin, CA
Provider details
- NPI number
- 1104141316
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Henry Schuppert, President(949) 863-9620
- License
- 54324 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
12791 Newport Ave Ste 208
Tustin, CA 92780-8023
Phone: (714) 544-1740
Street-level locationGet directions
Mailing address
20062 Sw Birch St Ste 220
Newport Beach, CA 92660-1519
Other names (DBA / former)
- Doing business as
- Elite Smiles
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2010-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.