MATTHEW G. FETHKE D.D.S.
NPI 1447343488
Dentist - General Practice in Boise, ID

Q: What is Matthew Fethke's NPI number?

The NPI number for Matthew Fethke is 1447343488. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Matthew Fethke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fethke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2006

12212 W AMITY RD, BOISE, ID 83709(208) 343-4732(208) 343-3818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Matthew G. Fethke D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW G. FETHKE D.D.S. (NPI 1447343488) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-3413) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1447343488

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMATTHEW G. FETHKECredential: D.D.S.

Location Address12212 W AMITY RDBoise, ID 83709-5389

Mailing Address12212 W Amity RdBoise, ID 83709-5389 · (208) 343-4732 · Fax (208) 343-3818

Phone(208) 343-4732

Fax(208) 343-3818

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447343488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D-3413

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12212 W AMITY RD, Boise, ID 83709

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Other Identifiers 1

Other6O662ID · Blue Cross Of Idaho

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTA E POTTENGER, DMD PLLC

Clinic/Center (Dental)

12212 W AMITY RD
BOISE, ID 83709

Ada County (208) 343-4732

KATELYN DE LA MONTANYA DMD

Dentist (General Practice)

12212 W AMITY RD
BOISE, ID 83709

Ada County (208) 350-6795

MATTHEW G. FETHKE, D.D.S.,PC

Dentist (General Practice)

12212 W AMITY RD
BOISE, ID 83709

Ada County (208) 343-4732

DR. TRISTA E POTTENGER DMD

Dentist (General Practice)

12212 W AMITY RD
BOISE, ID 83709

Ada County (208) 343-4732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Fethke's NPI number?

The NPI number for Matthew Fethke is 1447343488. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Matthew Fethke located?

Matthew Fethke practices at 12212 W Amity Rd, Boise, ID 83709. The listed phone number is (208) 343-4732.

What is Matthew Fethke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Matthew Fethke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.