Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Trista E Pottenger, DMD

Individual provider Dentist · NPI 1942641246

Dr. Trista E Pottenger, DMD is a Dentist in Boise, Idaho. Licensed in Idaho, Illinois and Pennsylvania. Registered with an NPI since 2013.

Licensed in
ID, IL, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12212 W Amity Rd
Boise, ID 83709-5389
Phone: (208) 343-4732
Fax: (082) 343-3818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4728 (ID)
Dentist Taxonomy 122300000X · Licence 019030151 (IL)
Dentist Taxonomy 122300000X · Licence DS039643 (PA)

Record details

NPI number1942641246
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 15, 2013
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address12212 W Amity Rd, Boise, ID 83709-5389

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