Dr Poppy Widyastuti The, DDS - Dentist in Winnetka, CA

Dr Poppy Widyastuti The, DDS is a Dentist - Pediatric Dentistry based in Winnetka, California. Dr Poppy Widyastuti The is licensed to practice in California (license number 26289) and her current practice location is 20800 Sherman Way, Winnetka, California. She can be reached at her office (for appointments etc.) via phone at (818) 883-2273.

NPI number for Dr Poppy Widyastuti The is 1992911408 and her current mailing address is 8902 Woodman Ave, Arleta, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992911408.

Contact Information

Dr Poppy Widyastuti The, DDS
20800 Sherman Way,
Winnetka, CA 91306-2707
(818) 883-2273
(818) 896-1074



Healthcare Provider's Profile

Full NameDr Poppy Widyastuti The
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location20800 Sherman Way, Winnetka, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992911408
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 04/04/2012

Medical Identifiers

Medical identifiers for Dr Poppy Widyastuti The such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992911408NPI-NPPES
1083624423MedicaidCA
1538130893MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 26289 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Poppy Widyastuti The is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Poppy Widyastuti The, DDS
8902 Woodman Ave,
Arleta, CA 91331-6401

Ph: (818) 830-7133
Dr Poppy Widyastuti The, DDS
20800 Sherman Way,
Winnetka, CA 91306-2707

Ph: (818) 883-2273

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› Verified 4 days ago


Dentist in Winnetka, CA

Dr. Mehrnoosh Dianati, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7616 Winnetka Ave, Suite #1, Winnetka, CA 91306
Phone: 818-667-9244    
Dr. Katherine Ogtong,
Dentist
Medicare: Medicare Enrolled
Practice Location: 20200 Saticoy St, Suite E, Winnetka, CA 91306
Phone: 818-775-9994    Fax: 818-775-9696
David Chang,
Dentist
Medicare: Medicare Enrolled
Practice Location: 20439 Sherman Way, Winnetka, CA 91306
Phone: 818-883-3922    
Dr. Mary Senstad, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 20173 Saticoy St, Winnetka, CA 91306
Phone: 818-717-9066    
Silvia L Duarte-ayala,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 20109 Sherman Way, Winnetka, CA 91306
Phone: 661-236-7497    
Dr. Regina Guadalupe Espinoza, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 20173 Saticoy St, Winnetka, CA 91306
Phone: 818-717-9066    
Dr. Edmundo Jose Ayala-orantes, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 20109 Sherman Way, Winnetka, CA 91306
Phone: 818-993-4284    Fax: 818-993-4265

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