Matthew G. Fethke is a Boise, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Matthew G. Fethke is D-3413 for General Practice Dentistry in Idaho. His current practice location is 12212 W Amity Rd, Boise. Patients can reach him at 208-343-4732.
Matthew G. Fethke is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Matthew G. Fethke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Matthew G. Fethke
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
12212 W Amity Rd, Boise, Idaho, 83709-5389
Phone:
208-343-4732
Fax:
208-343-3818
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1447343488
NPI Enumeration Date:
02 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew G. Fethke are as mentioned below.
License Number
Specialization
State
Status
D-3413
General Practice Dentistry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Matthew G. Fethke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6O662
Other
Idaho
BLUE CROSS OF IDAHO
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12212 W Amity Rd, Boise, Idaho
Zip:
83709-5389
Phone Number:
208-343-4732
Fax Number:
208-343-3818
Patients can reach Matthew G. Fethke at 12212 W Amity Rd, Boise, Idaho or can call to book an appointment on 208-343-4732. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.