ELITE DENTAL GROUP LAFAYETTE INC NPI 1396439741

NPI Information

NPI: 1396439741
Provider Name: ELITE DENTAL GROUP LAFAYETTE INC

Doing Business As: ELITE DENTAL GROUP LAFAYETTE

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

Specialization: Dental

Address:
1120 W SOUTH BOULDER RD STE 202
LAFAYETTE, CO
ZIP 80026
Phone: (303) 666-4653
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ELITE DENTAL GROUP LAFAYETTE INC is a dental clinic center in Lafayette, CO. ELITE DENTAL GROUP LAFAYETTE INC NPI is 1396439741. The provider is registered as an organization entity type.
The provider Is Doing Business As Elite Dental Group Lafayette.

The provider's business location address is:

1120 W SOUTH BOULDER RD STE 202
LAFAYETTE, CO
ZIP 80026-952
Phone: (303) 666-4653

The provider's authorized official is Kyu Hyuk Jung .
The authorized official title is President/dentist and has the following contact phone number (303) 666-4653.

The enumeration date for this NPI number is 6/7/2023 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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