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ELITE DENTAL GROUP CO SPRINGS
NPI 1104530542
Clinic/Center - Dental in Colorado Springs, CO

Active since January 10, 2023
1855 S NEVADA AVE, COLORADO SPRINGS, CO 80905(719) 471-1717(719) 447-0605 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 4, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Elite Dental Group Co Springs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE DENTAL GROUP CO SPRINGS (NPI 1104530542) is a healthcare organization registered as a dental in Colorado Springs, Colorado and active in the NPI registry since January 2023. The organization lists Kyu Jung, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1104530542
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELITE DENTAL GROUP CO SPRINGS INC
Location Address1855 S NEVADA AVEColorado Springs, CO 80905-2516
Mailing Address10700 E Bethany Dr Ste 210Aurora, CO 80014-2680 · (303) 745-8828 · Fax (720) 748-8867
Phone(719) 471-1717
Fax(719) 447-0605
Organization SubpartNo
Authorized OfficialKyu JungPresident/dentist · (719) 471-1717
Enumeration DateJanuary 10, 2023
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1104530542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1855 S NEVADA AVE, Colorado Springs, CO 80905
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Other Names 1

Doing Business AsElite Dental Group Co Springs

Other Identifiers 1

Medicaid1396261251CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Dental Group Co Springs Inc's NPI number?

The NPI number for Elite Dental Group Co Springs Inc is 1104530542. It was assigned to this organization in the NPPES registry on January 10, 2023. The provider is doing business as Elite Dental Group Co Springs.

Where is Elite Dental Group Co Springs Inc located?

Elite Dental Group Co Springs Inc is located at 1855 S Nevada Ave, Colorado Springs, CO 80905. The listed phone number is (719) 471-1717.

What is Elite Dental Group Co Springs Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Elite Dental Group Co Springs Inc accept?

Health plans from UnitedHealthcare list Elite Dental Group Co Springs Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Dental Group Co Springs Inc was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.