ELITE DENTAL GROUP THORNTON PLLC NPI 1043944523

NPI Information

NPI: 1043944523
Provider Name: ELITE DENTAL GROUP THORNTON, PLLC

Doing Business As: ELITE DENTAL GROUP THORNTON

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10005 GRANT ST UNIT D
THORNTON, CO
ZIP 80229
Phone: (303) 450-3199
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ELITE DENTAL GROUP THORNTON, PLLC is a dental clinic center in Thornton, CO. ELITE DENTAL GROUP THORNTON, PLLC NPI is 1043944523. The provider is registered as an organization entity type.
The provider Is Doing Business As Elite Dental Group Thornton.

The provider's business location address is:

10005 GRANT ST UNIT D
THORNTON, CO
ZIP 80229-033
Phone: (303) 450-3199
Fax: (303) 450-0862

The provider's authorized official is Kyu Hyuk Jung .
The authorized official title is President/dentist and has the following contact phone number (303) 450-3199.

The enumeration date for this NPI number is 7/12/2022 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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