OrganizationActive
Mavern Suprono DDS Inc
NPI 1477622165 · Dentist · Colton, CA
Mavern Suprono DDS Inc is a Dentist organization in Colton, CA (NPI 1477622165).
Provider details
- NPI number
- 1477622165
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mavern Suprono, President(909) 783-9099
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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 St
Suite B
Colton, CA 92324
Phone: (909) 783-9099
Fax: (909) 824-1677
Street-level locationGet directions
Mailing address
Po Box 903
Loma Linda, CA 92354
Other names (DBA / former)
- Doing business as
- Dental Associates of Colton and Dental Associates of Pomona
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mavern Suprono DDS Inc's NPI number?
- Mavern Suprono DDS Inc's National Provider Identifier (NPI) is 1477622165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mavern Suprono DDS Inc?
- Mavern Suprono DDS Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mavern Suprono DDS Inc located?
- Mavern Suprono DDS Inc's practice location on file with NPPES is 1080 E Washington St, Colton, CA 92324.
- What is Mavern Suprono DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Mavern Suprono DDS Inc is (909) 783-9099.
- Who is the authorized official for Mavern Suprono DDS Inc?
- The authorized official listed on Mavern Suprono DDS Inc's NPPES record is Mavern Suprono, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mavern Suprono DDS Inc's NPI active?
- Yes — Mavern Suprono DDS Inc's NPI (1477622165) 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.