Individual provider · Type 1 NPI

Trista E. Pottenger, DMD

General Practice Dentistry · Boise, ID

NPI number 1942641246 Active

Practice location

12212 W Amity Rd
Boise, ID 83709-5389

Fax (082) 343-3818

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019030151 (IL)
Dentist 122300000XDS039643 (PA)
General Practice Dentistry Primary 1223G0001XD4728 (ID)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1942641246

Trista E. Pottenger, DMD's National Provider Identifier is 1942641246, issued on Jul 15, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Nov 3, 2021.