JUSTIN J KWON DDS, P.C. (NPI# 1366801953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366801953 |
| Entity Type | Organization |
| Organization Name | JUSTIN J KWON DDS, P.C. |
| Other Organization Name | GREEN DENTAL |
| Practice Address |
10700 E Bethany Dr Ste 210 Aurora CO 80014-2680 |
| Practice Telephone | 3037458828 |
| Mailing Telephone | 3037458828 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | JUSTIN KWON (PRESIDENT) |
| Authorized Official Telephone | 7203400348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9372 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Green Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918757 | Justin J Kwon Dds, P.C. | Dentist | 290 Nickel St Ste 500, Broomfield, CO 80020-2129 | 2018-10-23 |
| Street Address |
10700 E BETHANY DR STE 210 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745634 | Justin Jin Kwon | Dentist | 10700 E Bethany Dr Ste 210, Aurora, CO 80014-2680 | 2007-02-08 |
| 1366002131 | Elite Dental Group Inc | Clinic/Center | 10700 E Bethany Dr Ste 210, Aurora, CO 80014-2680 | 2019-06-14 |
| 1396261251 | Kyu Hyuk Jung | Dentist | 10700 E Bethany Dr Ste 210, Aurora, CO 80014-2680 | 2017-08-22 |
| 1043491277 | David Anton Edlund | Dentist | 10700 E Bethany Dr Ste 210, Aurora, CO 80014-2680 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1063030427 | Pacific Smiling Dental P.C. | Dentist | 4370 E New York St, Aurora, IL 60504-4121 | 2020-07-10 |
| 1245856244 | Aurora Family Dentistry LLC | Dentist | 13700 E Colfax Ave Unit M, Aurora, CO 80011-6847 | 2020-06-25 |
| 1033733423 | Weber Family Dentistry Pllc | Dentist | 2501 Dallas St Ste 224, Aurora, CO 80010-1036 | 2020-06-02 |
| 1457970600 | Mesmariland Pllc | Dentist | 18801 E Hampden Ave Ste 178, Aurora, CO 80013-3587 | 2020-04-08 |
| 1780233122 | Rachel Catalano | Dentist | 185 New Castle Dr Apt 23-185, Aurora, OH 44202-6731 | 2019-09-09 |
| 1063061703 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 485 N Aurora Rd, Aurora, OH 44202-8721 | 2019-09-05 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1588123079 | Hope Dental P.C. | Dentist | 2418 W Indian Trl Ste E, Aurora, IL 60506-1590 | 2019-03-14 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.