Matthew Fethke, D.D.S

NPI 1447343488 · on the registry since 2006

Practice

Address: 12212 W Amity Rd
Boise, ID 83709
Phone: (208) 343-4732
Fax: (208) 343-3818
Organisation at this address: Trista E Pottenger, Dmd Pllc
Matthew G. Fethke, D.D.S.,Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho