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SUNNYSIDE DENTAL CARE PC
NPI 1003144114
Dentist - General Practice in Idaho Falls, ID

Active since December 01, 2009
1520 ELK CREEK DR, IDAHO FALLS, ID 83404(208) 522-8854 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunnyside Dental Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYSIDE DENTAL CARE PC (NPI 1003144114) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since December 2009. The organization lists Evan O Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1003144114
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUNNYSIDE DENTAL CARE PC
Location Address1520 ELK CREEK DRIdaho Falls, ID 83404-8322
Mailing Address1520 Elk Creek DrIdaho Falls, ID 83404-8322 · (208) 522-8854 · Fax (208) 535-0551
Phone(208) 522-8854
Organization SubpartNo
Authorized OfficialEvan O JohnsonPresident · (208) 522-8854
Enumeration DateDecember 1, 2009
Last NPPES UpdateMay 20, 2015
✔ NPI 1003144114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D1853
Definition
A 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.
1520 ELK CREEK DR, Idaho Falls, ID 83404
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD D STOKER D.M.D.
Dentist
1520 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 522-4700
SUNNYSIDE DENTAL CARE LLC
Dentist (General Practice)
1520 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 522-4700
HOOVER CHARTERED
Clinic/Center (Dental)
1520 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 524-4668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunnyside Dental Care PC's NPI number?

The NPI number for Sunnyside Dental Care PC is 1003144114. It was assigned to this organization in the NPPES registry on December 1, 2009.

Where is Sunnyside Dental Care PC located?

Sunnyside Dental Care PC is located at 1520 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 522-8854.

What is Sunnyside Dental Care PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sunnyside Dental Care PC accept?

Health plans from UnitedHealthcare list Sunnyside Dental Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunnyside Dental Care PC was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.