Healthcare Provider Details

I. General information

NPI: 1295589851
Provider Name (Legal Business Name): EMILY POON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 N MILPAS ST
SANTA BARBARA CA
93103-2331
US

IV. Provider business mailing address

414 E COTA ST
SANTA BARBARA CA
93101-1624
US

V. Phone/Fax

Practice location:
  • Phone: 805-884-1998
  • Fax:
Mailing address:
  • Phone: 805-617-7857
  • Fax: 805-618-3999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112742
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: