SUNNYSIDE DENTAL CARE PC (NPI# 1003144114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003144114 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE DENTAL CARE PC |
| Practice Address |
1520 Elk Creek Dr Idaho Falls ID 83404-8322 |
| Practice Telephone | 2085228854 |
| Mailing Telephone | 2085228854 |
| Mailing Fax Number | 2085350551 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | EVAN O JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 2085228854 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1853 | ID | Dental Providers |
| Street Address |
1520 ELK CREEK DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780904623 | Hoover Chartered | Clinic/Center | 1520 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236501 | John Andrew Chappell | Dentist | 1820 John Adams Pkwy, Idaho Falls, ID 83401-4315 | 2018-05-23 |
| 1326395385 | Eagle Rock Dental Care Pllc | Dentist | 2205 Channing Way Ste B, Idaho Falls, ID 83404-8016 | 2012-08-09 |
| 1194046037 | Esther B. Machen | Dentist | 3500 Potomac Way, Suite 200, Idaho Falls, ID 83404-4974 | 2010-06-15 |
| 1033443478 | Soft Touch Dental | Dentist | 3350 S 15 Th E, Idaho Falls, ID 83404 | 2009-10-01 |
| 1134356140 | Riverwest Dental, Pllc | Dentist | 1655 Pancheri Dr., Idaho Falls, ID 83402 | 2009-06-17 |
| 1932368222 | Elison Dental Center | Dentist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2008-06-03 |
| 1851590152 | Mark Aaron Chambers | Dentist | 2860 Valencia Dr Ste 101, Idaho Falls, ID 83404-7597 | 2007-07-16 |
| 1306053350 | Layne K Mccord | Dentist | 3411 Merlin Dr, Idaho Falls, ID 83404-7430 | 2007-05-17 |
| 1891837050 | Nathan Jay Crandall | Dentist | 1991 W Broadway St # 1, Idaho Falls, ID 83402-3041 | 2007-02-13 |
| 1851438709 | Jay M. Harris | Dentist | 3815 Washington Pkwy, Idaho Falls, ID 83404-7591 | 2007-01-31 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on SUNNYSIDE DENTAL CARE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.