Mavern Suprono DDS Inc
Mavern Suprono DDS Inc is a healthcare organization registered as Dentist in Colton, CA, holding Type 2 (organization) NPI 1477622165 since 2006. The authorized official on file is Mavern Suprono, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477622165 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mavern Suprono DDS Inc |
| Other name | <Unavail> |
| Practice address | 1080 E WASHINGTON ST, SUITE B, Colton, CA, 92324 |
| Phone | 9097839099 |
| Fax | 9098241677 |
| Enumeration date | 2006-11-07 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mavern Suprono |
|---|---|
| Title | President |
| Phone | 9097839099 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Mavern Suprono DDS Inc NPI: 1477622165 Taxonomy: 122300000X (Dentist) Address: 1080 E WASHINGTON ST, SUITE B, Colton, CA, 92324
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083820096 | Panadda Tiempetpaisal | Individual | Dentist | Colton, CA |
Verify this record
Cross-check NPI 1477622165 against the authoritative CMS record: view Mavern Suprono DDS Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.