IndividualActive
Stephen Potter, DDS
NPI 1053505602 · Dentist · Mountain Home Afb, ID
Stephen Potter, DDS is a Dentist provider in Mountain Home Afb, ID (NPI 1053505602).
Provider details
- NPI number
- 1053505602
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6632604-9922 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062
Phone: (208) 828-7300
Street-level locationGet directions
Mailing address
366 Mdg
Mountain Home, IDAHO 83648
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Stephen Potter's NPI number?
- Stephen Potter's National Provider Identifier (NPI) is 1053505602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Potter's specialty?
- Stephen Potter is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Stephen Potter located?
- Stephen Potter's practice location on file with NPPES is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062.
- What is Stephen Potter's phone number?
- The practice phone number listed in the NPPES registry for Stephen Potter is (208) 828-7300.
- Is Stephen Potter's NPI active?
- Yes — Stephen Potter's NPI (1053505602) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.