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TRISTA E POTTENGER, DMD PLLC
NPI 1649935818
Clinic/Center - Dental in Boise, ID

Active since November 03, 2021
12212 W AMITY RD, BOISE, ID 83709(208) 343-4732(208) 343-3818 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Trista E Pottenger, Dmd Pllc NPPES

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

TRISTA E POTTENGER, DMD PLLC (NPI 1649935818), doing business as High Desert Dental, is a healthcare organization registered as a dental in Boise, Idaho and active in the NPI registry since November 2021. The organization lists Trista E Pottenger, Owner, as its authorized official.

NPPES Registry Identity

NPI1649935818
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTRISTA E POTTENGER, DMD PLLC
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
Organization SubpartNo
Authorized OfficialTrista E PottengerOwner · (208) 484-8212
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1649935818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12212 W AMITY RD, Boise, ID 83709
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Other Names 1

Doing Business AsHigh Desert Dental

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.

MATTHEW G. FETHKE D.D.S.
Dentist (General Practice)
12212 W AMITY RD
BOISE, ID 83709
Ada County (208) 343-4732
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
KATELYN DE LA MONTANYA DMD
Dentist (General Practice)
12212 W AMITY RD
BOISE, ID 83709
Ada County (208) 350-6795

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 Trista E Pottenger, Dmd PLLC's NPI number?

The NPI number for Trista E Pottenger, Dmd PLLC is 1649935818. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Trista E Pottenger, Dmd PLLC located?

Trista E Pottenger, Dmd PLLC is located at 12212 W Amity Rd, Boise, ID 83709. The listed phone number is (208) 343-4732.

What is Trista E Pottenger, Dmd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Trista E Pottenger, Dmd PLLC was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.