Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Poppy Widyastuti The, DDS

Individual provider Pediatric Dentistry · NPI 1992911408

Dr. Poppy Widyastuti The, DDS is a Pediatric Dentistry in Winnetka, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

20800 Sherman Way
Winnetka, CA 91306-2707
Phone: (818) 883-2273
Fax: (818) 896-1074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 26289 (CA)

Record details

NPI number1992911408
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESApril 4, 2012