Individual
DR. STEPHEN STERLING POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7300
Mailing address
366 MDG, 90 HOPE DRIVE, MOUNTAIN HOME, IDAHO 83648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6632604-9922
UT
1223G0001X
General Practice Dentistry
6632604-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053505602
FEDERAL SERVICES
—
Enumeration date
08/28/2007
Last updated
10/22/2025
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