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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

What is TRISTA E POTTENGER, DMD PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1649935818, enumerated as an "organization" on November 03, 2021.

Where is the provider located?

The provider is located at 12212 W AMITY RD BOISE, ID 83709 and the phone number is (208) 343-4732.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.