Susanto Dental Corporation
NPI 1609061720ActiveOrganization· Dentist· La Puente, CA
Dentist in La Puente, California, registered in NPPES in September 2007. The authorized official on file is Hanny Susanto, DDS, President.
Overview
| NPI | 1609061720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2007 |
| Last updated in NPPES | Sep 11, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 39482 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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