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Active NPI 1568617587 Individual Practitioner Male Practitioner

Dr. Peter Robertson Sumarsono , DDS

Dentist - General Practice • Irvine, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Sumarsono, DDS is a registered healthcare professional specializing in Dentist - General Practice in Irvine, CA. Practice services are available at 62 CORPORATE PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

62 Corporate Park
Barranca Medical Plaza, Suite 200

Irvine, CA 92606

Telephone 7148648261
Fax 7145720572
Associated Practice Facility / Clinic
🏢 Smileworks Dental Group Facility NPI 1255361903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Irvine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
183 Specialists

Practicing in Irvine, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 40736

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1376583120
Dr. Bobby Don , DDS

Dentist - General Practice

NPI 1407064280

Doctor of Dental Surgery

NPI 1427074814

Doctor of Chiropractic

Dr. Judy Corr , DO

Family Medicine

NPI 1437252087

Doctor of Osteopathic Medicine (D.O.)

Jin Joo Park

Acupuncturist

NPI 1518331859
NPI 1770513616

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2010

Registered at 62 CORPORATE PARK, BARRANCA MEDICAL PLAZA, SUITE 200, IRVINE, CA 92606 (Tel: 7148648261)

📍
Updated Business Mailing Address January 12, 2010

Registered at 17092 VISTA MORAGA, YORBA LINDA, CA 928866209 (Tel: 7148648261)

👤
Provider Name / Credentials Updated January 12, 2010

Recorded as PETER SUMARSONO, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2010

Dentist (License #40736 in CA)

🟢
Initial NPI Registration & Enumeration November 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568617587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2008
Last Update: January 12, 2010
Sole Proprietor: No

Mailing Address

17092 Vista Moraga

Yorba Linda, CA 928866209

Phone: 7148648261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.