NPI age
16 years
Enumerated 2009-12-01
● Active Type 2 · Organization
Sunnyside Dental Care Pc
Sunnyside Dental Care Pc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
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: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
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
Individual providers at this organization
1 individual provider on file at this primary practice address.
- 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
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.