# ELITE DENTAL GROUP FOUNTAIN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson And Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275409732
- **Authorized official:** DR. KYU HYUK JUNG DDS (OWNER)
- **Authorized official phone:** (720) 278-8492

## Contact information

- **Practice address:** 200 PLAZA BLVD, FOUNTAIN, CO 80817-2504
- **Practice address phone:** (719) 392-4201
- **Mailing address:** 10730 E BETHANY DR STE 240, AURORA, CO 80014-2693
- **Mailing address phone:** (720) 278-8492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 12/09/2025