Elite Dental Group Thornton, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE DENTAL GROUP THORNTON, PLLC

Practice address

10005 Grant St Unit D
Thornton, CO 80229-2033

Phone

(303) 450-3199

Fax

(303) 450-0862

NPI assigned

Jul 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kyu Hyuk Jung, DDSNPI 1396261251

Title

President/Dentist

Phone

(303) 450-3199

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Group Thornton Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyu Hyuk Jung, DDS

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1396261251
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1043944523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 GRANT ST UNIT D",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292033",
            "telephone_number": "303-733-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 GRANT ST UNIT D",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292033",
            "telephone_number": "303-450-3199",
            "fax_number": "303-450-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL GROUP THORNTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "KYU",
        "authorized_official_middle_name": "HYUK",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "303-450-3199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Group Thornton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Ann Eisenbart, B.A.
• Georgia R Eklund, M.A.
• Amy Ann Elder, ADAA
• Elevated Temple LLC
• Lucia Elgin, MOT
• Elite Foot & Ankle Clinic
• Elite Foot & Ankle Clinic
• Courtney Breaux Ellena, CNM
• Melanie C Ellers, CRNP
• Ellington Eyecare PLLC

• Dental Clinic/Center in Thornton, CO
• Providers in Thornton, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.