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Ridwan Sudirgo, D.D.S
NPI 1811037443 · General Practice Dentistry · Montebello, CA
Ridwan Sudirgo, D.D.S is a General Practice Dentistry provider in Montebello, CA (NPI 1811037443).
Provider details
- NPI number
- 1811037443
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36010 (CA)
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
2218 W Beverly Blvd
Montebello, CA 90640-2302
Phone: (323) 721-6221
Fax: (323) 721-8641
Street-level locationGet directions
Mailing address
Po Box 3066
Montebello, CA 90640-8366
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-09
Frequently asked questions
- What is Ridwan Sudirgo's NPI number?
- Ridwan Sudirgo's National Provider Identifier (NPI) is 1811037443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ridwan Sudirgo's specialty?
- Ridwan Sudirgo is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Ridwan Sudirgo located?
- Ridwan Sudirgo's practice location on file with NPPES is 2218 W Beverly Blvd, Montebello, CA 90640-2302.
- What is Ridwan Sudirgo's phone number?
- The practice phone number listed in the NPPES registry for Ridwan Sudirgo is (323) 721-6221.
- Is Ridwan Sudirgo's NPI active?
- Yes — Ridwan Sudirgo's NPI (1811037443) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.