Elite Dental Group Canon City Inc
NPI 1518747765 · Dental Clinic/Center · Canon City, CO
Elite Dental Group Canon City Inc is a Dental Clinic/Center organization in Canon City, CO (NPI 1518747765).
Provider details
- NPI number
- 1518747765
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyu Jung, President/Dentist(719) 275-5933
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Elite Dental Group Canon City
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Frequently asked questions
- What is Elite Dental Group Canon City Inc's NPI number?
- Elite Dental Group Canon City Inc's National Provider Identifier (NPI) is 1518747765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Dental Group Canon City Inc?
- Elite Dental Group Canon City Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elite Dental Group Canon City Inc located?
- Elite Dental Group Canon City Inc's practice location on file with NPPES is 1215 N 15th St, Canon City, CO 81212-4620.
- What is Elite Dental Group Canon City Inc's phone number?
- The practice phone number listed in the NPPES registry for Elite Dental Group Canon City Inc is (719) 275-5933.
- Who is the authorized official for Elite Dental Group Canon City Inc?
- The authorized official listed on Elite Dental Group Canon City Inc's NPPES record is Kyu Jung, President/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Dental Group Canon City Inc's NPI active?
- Yes — Elite Dental Group Canon City Inc's NPI (1518747765) is active in the NPPES registry as of the last update on 2023-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.