Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunnyside Dental Care PC

Organization General Practice Dentistry · NPI 1003144114

Sunnyside Dental Care PC provides General Practice Dentistry in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1520 Elk Creek Dr
Idaho Falls, ID 83404-8322 Not confirmed with CMS for 11 years — call before visiting
Phone: (208) 522-8854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D1853 (ID)

Record details

NPI number1003144114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evan Johnson — President · (208) 522-8854
NPI enumeratedDecember 1, 2009
Last updated in NPPESMay 20, 2015
Mailing address1520 Elk Creek Dr, Idaho Falls, ID 83404-8322

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