Dr. Poppy Widyastuti The is a Winnetka, California based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Poppy Widyastuti The is
26289 for Pediatric Dentistry in California. Her current practice location is
20800 Sherman Way, Winnetka. Patients can reach her at
818-883-2273.
Dr. Poppy Widyastuti The provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Poppy Widyastuti The speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Poppy Widyastuti The |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 20800 Sherman Way, Winnetka,
California, 91306-2707 |
| Phone: | 818-883-2273 |
| Fax: | 818-896-1074 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1992911408 |
| NPI Enumeration Date: | 14 May, 2007 |
| NPI Last Update On: | 04 Apr, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Poppy Widyastuti The are as mentioned below.
| License Number | Specialization | State | Status | |
| 26289 | Pediatric Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Poppy Widyastuti The such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1083624423 | Medicaid | California | |
| 1538130893 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8902 Woodman Ave,
Arleta, California |
| Zip: | 91331-6401 |
| Phone Number: | 818-830-7133 |
| Fax Number: | 818-830-7280 |
Patients can reach Dr. Poppy Widyastuti The at
20800 Sherman Way, Winnetka, California or can
call to book an appointment on 818-883-2273.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.