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Peter Sumarsono Professional Dental Corporation

Preferred Provider Organization in Huntington Beach, CA · enumerated 2015 · authorized official Peter Sumarsono, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033596788

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Registry record

Entity type Organization (Type 2)
Legal business name Peter Sumarsono Professional Dental Corporation
Practice address 9110 Adams Avenue, Huntington Beach, CA, 92646
Fax (714) 968-1146
Enumeration date May 1, 2015
Last updated in NPPES May 1, 2015

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License 40736 (CA) Primary

Authorized official

Name Peter Sumarsono
Title Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Peter Sumarsono Professional Dental Corporation located?
The practice location on file with NPPES is in Huntington Beach, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-05-01. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-01.