OrganizationActive
Susanto Dental Corporation
NPI 1609061720 · Dentist · La Puente, CA
Susanto Dental Corporation is a Dentist organization in La Puente, CA (NPI 1609061720).
Provider details
- NPI number
- 1609061720
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Hanny Susanto, President(626) 401-0747
- License
- 39482 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1240 N Hacienda Blvd Ste 103
La Puente, CA 91744-1663
Phone: (626) 931-2525
Fax: (626) 931-2527
Street-level locationGet directions
Mailing address
10226 Olive St
Temple City, CA 91780-3346
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2007-09-11
Frequently asked questions
- What is Susanto Dental Corporation's NPI number?
- Susanto Dental Corporation's National Provider Identifier (NPI) is 1609061720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susanto Dental Corporation?
- Susanto Dental Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Susanto Dental Corporation located?
- Susanto Dental Corporation's practice location on file with NPPES is 1240 N Hacienda Blvd Ste 103, La Puente, CA 91744-1663.
- What is Susanto Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Susanto Dental Corporation is (626) 931-2525.
- Who is the authorized official for Susanto Dental Corporation?
- The authorized official listed on Susanto Dental Corporation's NPPES record is Hanny Susanto, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susanto Dental Corporation's NPI active?
- Yes — Susanto Dental Corporation's NPI (1609061720) is active in the NPPES registry as of the last update on 2007-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.