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ELITE DENTAL GROUP AURORA INC NPI 1366002131


NPI Information

NPI: 1366002131
Provider Name: ELITE DENTAL GROUP AURORA INC

Doing Business As: ELITE DENTAL GROUP INC

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

Specialization: Dental

Address:
10700 E BETHANY DR STE 210
AURORA, CO
ZIP 80014
Phone: (303) 745-8828
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ELITE DENTAL GROUP AURORA INC is a dental clinic center in Aurora, CO. ELITE DENTAL GROUP AURORA INC NPI is 1366002131. The provider is registered as an organization entity type.
The provider Is Doing Business As Elite Dental Group Inc.

The provider's business location address is:

10700 E BETHANY DR STE 210
AURORA, CO
ZIP 80014-680
Phone: (303) 745-8828
Fax: (720) 748-8867

The provider's authorized official is Kyu H Jung .
The authorized official title is Owner and has the following contact phone number (303) 745-8828.

The enumeration date for this NPI number is 6/14/2019 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396261251MEDICAIDCOLORADO

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: 4/28/2024

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