NPI age
17 years
Enumerated 2008-06-12
● Active Type 2 · Organization
Matthew G. Fethke, D.d.s.,pc
Matthew G. Fethke, D.d.s.,pc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hefner
Office Manager
Last NPPES update
2008-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
12212 W Amity Rd
Boise, ID 837095389
Mailing address
12212 W Amity Rd
Boise, ID 837095389
Authorized official
Janet D Hefner
Office Manager
📞 2083434732
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Matthew Fethke, D.D.S. Dentist NPI 1447343488
- Trista Pottenger, DMD Dentist NPI 1942641246
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1447343488 | NPI |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
High Desert Dental
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.