Sunnyside Dental Care Pc

LBN: Sunnyside Dental Care Pc
Sunnyside Dental Care Pc is an health care organization with primary practice located at 1520 Elk Creek Dr , Idaho Falls ID 83404-8322. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sunnyside Dental Care Pc can be contacted via phone (208) 522-8854, or through Johnson, Evan O via phone (208) 522-8854.

Contact Information

Primary practice address
1520 Elk Creek Dr Idaho Falls ID 83404-8322
Phone: (208) 522-8854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Evan O Doctor of Dental Medicine (DMD)
Phone: (208) 522-8854

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D1853 Idaho

Profile Details

NPI number 1003144114
LBN Legal business name Sunnyside Dental Care Pc
DBA Doing business as
Authorized official Johnson, Evan O Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2009
Last updated May 20th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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