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