Pon T Tath, DMD in Boonville, CA - Dentist

Pon T Tath, DMD is a Dentist - General Practice based in Boonville, California. Pon T Tath is licensed to practice in California (license number 58706) and his current practice location is 13500 Airport Rd, Boonville, California. He can be reached at his office (for appointments etc.) via phone at (707) 895-3477.

NPI number for Pon T Tath is 1225260623 and his current mailing address is Po Box 7783, Stockton, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225260623.

Contact Information

	Pon T Tath, DMD
	13500 Airport Rd, Boonville, CA 95415-9133
	(707) 895-3477
	(707) 895-2035

Healthcare Provider's Profile

Full Name	Pon T Tath
Gender	Male
Speciality	Dentist - General Practice
Location	13500 Airport Rd, Boonville, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1225260623
Provider Enumeration Date: 08/18/2009
Last Update Date: 12/09/2019

Medical Identifiers

Medical identifiers for Pon T Tath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225260623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	58706 (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. Pon T Tath 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 Address	Practice Location Address
Pon T Tath, DMD Po Box 7783, Stockton, CA 95267-0783 Ph: (209) 597-3145	Pon T Tath, DMD 13500 Airport Rd, Boonville, CA 95415-9133 Ph: (707) 895-3477

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Dentist in Boonville, CA

Mrs. Toni Marie Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13500 Airport Rd, Boonville, CA 95415 Phone: 707-895-3477 Fax: 707-895-2035
Dr. Carole Ann Murphy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13500 Airport Rd, Boonville, CA 95415 Phone: 559-582-2827 Fax: 707-895-2035

Pon T Tath, DMD - Dentist in Boonville, CA