# SUNSET DENTAL CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962511154
- **Authorized official:** DR. SCHUYLER ANNE VANDYKE DMD (DENTIST DMD)
- **Authorized official phone:** (406) 278-3609

## Contact information

- **Practice address:** 417 2ND AVE SW, CONRAD, MT 59425
- **Practice address phone:** (406) 278-3609
- **Practice address fax:** (406) 278-5458
- **Mailing address:** 417 2ND AVE SW, CONRAD, MT 59425
- **Mailing address phone:** (406) 278-3609
- **Mailing address fax:** (406) 278-5458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1880 | MT | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 10/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112438 | — | MT |
| 01 | — | 18804 | BLX | MT |
| 01 | — | 5512182 | CHIPS | MT |