Elite Dental Group Fountain Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE DENTAL GROUP FOUNTAIN INC

Doing business as

Johnson And Associates

Practice address

200 Plaza Blvd
Fountain, CO 80817-2504

Phone

(719) 392-4201

NPI assigned

Oct 13, 2025

Last updated

Dec 9, 2025By the provider in NPPES

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, DDS

Title

Owner

Phone

(720) 278-8492

Specialties & licenses 2

Addresses

Other names 1

• Johnson And Associates Doing business as

Locations

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1275409732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 E BETHANY DR STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142693",
            "telephone_number": "720-278-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLAZA BLVD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808172504",
            "telephone_number": "719-392-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL GROUP FOUNTAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "KYU",
        "authorized_official_middle_name": "HYUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-278-8492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson And Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Carol Earls
• Kenda Johanna East
• Catherine Mae Eby, DPT
• Lisa Edwards
• Cynthia Louise Eiferd, CNA
• Julian Resto Elizondo
• Dijana Elmejdoubi, DDS, MS
• Emergency Medical Specialists, PC
• Emergency Medical Specialists, PC
• Enduring Hope LLC

• Dental Clinic/Center in Fountain, CO
• Providers in Fountain, 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 Dec 9, 2025; 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.