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HIGH DESERT DENTAL
NPI 1841450889
Dentist - General Practice in Boise, ID

Active since June 12, 2008
12212 W AMITY RD, BOISE, ID 83709(208) 343-4732(208) 343-3818 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About High Desert Dental NPPES

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

HIGH DESERT DENTAL (NPI 1841450889) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since June 2008. The organization lists Janet D Hefner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1841450889
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATTHEW G. FETHKE, D.D.S.,PC
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 OfficialJanet D HefnerOffice Manager · (208) 343-4732
Enumeration DateJune 12, 2008
✔ NPI 1841450889 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 · D3413
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 Names 1

Doing Business AsHigh Desert Dental

Other Identifiers 1

Other1447343488ID · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
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
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 G. Fethke, D.D.S.,pc's NPI number?

The NPI number for Matthew G. Fethke, D.D.S.,pc is 1841450889. It was assigned to this organization in the NPPES registry on June 12, 2008. The provider is doing business as High Desert Dental.

Where is Matthew G. Fethke, D.D.S.,pc located?

Matthew G. Fethke, D.D.S.,pc is located at 12212 W Amity Rd, Boise, ID 83709. The listed phone number is (208) 343-4732.

What is Matthew G. Fethke, D.D.S.,pc'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 G. Fethke, D.D.S.,pc was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.