Search › Idaho › General Practice Dentistry
Trista Pottenger, DMD
NPI 1942641246 · on the registry since 2013
Practice
- Address
- 12212 W Amity Rd
Boise, ID 83709 - Phone
- (208) 343-4732
- Fax
- (082) 343-3818
- Organisation at this address
- Trista E Pottenger, Dmd Pllc
Matthew G. Fethke, D.D.S.,PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
Dentist - Licence states on file
- IL, PA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-03
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