Doctor profile · Federal record
Dr. Montry Suprono, DDS
Prosthodontist · Loma Linda, CA
- NPI 1821249913
- 18 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11092 Anderson Street, Llu School of Dentistry
Loma Linda, CA 923500001
(909) 558-4613
fax (909) 558-4192
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Specialty taxonomy
- 1223P0700X — NUCC code
- State license (1)
- California #56324
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821249913. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$455
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| DENTSPLY LLC | 3 | $454.91 |
By nature of payment
Frequently asked questions
What is Dr. Montry Suprono's medical specialty?
Dr. Montry Suprono practices Prosthodontist in Loma Linda, CA.
Where does Dr. Montry Suprono practice?
Dr. Montry Suprono practices at 11092 Anderson Street, Loma Linda, CA 923500001. Office phone: 9095584613.
What is Dr. Montry Suprono's NPI?
Dr. Montry Suprono's National Provider Identifier (NPI) is 1821249913, issued by NPPES.