Elite Dental Group Littleton Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELITE DENTAL GROUP LITTLETON INC.

Doing business as

Elite Dental Group Littleton

Practice address

5125 S Kipling Pkwy Ste 315
Littleton, CO 80127-1710

Phone

(303) 515-7095

Fax

(720) 343-5813

NPI assigned

Nov 11, 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 Jung, DDS

Title

President/Dentist

Phone

(303) 515-7095

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Group Littleton Doing business as

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1649988304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 S KIPLING PKWY STE 315",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271710",
            "telephone_number": "303-515-7095",
            "fax_number": "720-343-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 S KIPLING PKWY STE 315",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271710",
            "telephone_number": "303-515-7095",
            "fax_number": "720-343-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL GROUP LITTLETON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "KYU",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "303-515-7095",
        "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 Littleton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Dental Group Littleton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Littleton, CO
• Providers in Littleton, 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.