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

Pon T Tath, DMD

Individual provider General Practice Dentistry · NPI 1225260623

Pon T Tath, DMD is a General Practice Dentistry in Boonville, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

13500 Airport Rd
Boonville, CA 95415-9133
Phone: (707) 895-3477
Fax: (707) 895-2035
Show map & directions

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

Additional practice locations (1)

  • 220 Towne Centre Dr, Lathrop, CA 95330-9533 — (209) 597-3145

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 58706 (CA)

Record details

NPI number1225260623
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 18, 2009
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing addressPo Box 7783, Stockton, CA 95267-0783