NPI age
16 years
Enumerated 2009-12-01
● Active Type 2 · Organization
Sunnyside Dental Care Pc
Sunnyside Dental Care Pc is 1 of 1,126 general practice (dentist) organizations in Idaho.
Primary specialty
General Practice (Dentist)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
President
Last NPPES update
2015-05-20
Source: CMS NPPES provider record
How this organization compares
Across 1126 active general practice (dentist) providers in Idaho.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2015
2009-12Enumerated in NPPES
2009
2015
Where they practice
Primary practice location
1520 Elk Creek Dr
Idaho Falls, ID 834048322
Mailing address
1520 Elk Creek Dr
Idaho Falls, ID 834048322
Authorized official
Evan O Johnson, D.M.D.
President
📞 2085228854
Other providers sharing this address
1 individual provider use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Richard Stoker, D.M.D. Dentist NPI 1376718460
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.
Practice context
Shared NPPES address. 1 individual provider use this primary address. This does not prove employment or affiliation.
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