JUSTIN J KWON DDS, P.C. (NPI# 1366918757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366918757 |
| Entity Type | Organization |
| Organization Name | JUSTIN J KWON DDS, P.C. |
| Other Organization Name | GREEN DENTAL |
| Practice Address |
290 Nickel St Ste 500 Broomfield CO 80020-2129 |
| Practice Telephone | 3034695301 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | JUSTIN KWON (OWNER) |
| Authorized Official Telephone | 3034695301 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| GREEN DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801953 | Justin J Kwon Dds, P.C. | Dentist | 10700 E Bethany Dr Ste 210, Aurora, CO 80014-2680 | 2016-02-11 |
| Street Address |
290 NICKEL ST STE 500 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1750765764 | Dr. Hani M. Marogil Dmd PC | Dentist | 340 E 1st Ave Ste 202, Broomfield, CO 80020-2445 | 2015-07-20 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| 1407270127 | Broadlands Family Dentistry LLC | Dentist | 3800 W 144th Ave Unit 400, Broomfield, CO 80023-3991 | 2014-02-17 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1497042915 | Robert Carl Berry | Dentist | 291 E Flatiron Cir Unit D, Broomfield, CO 80021-8060 | 2011-07-05 |
| 1255622635 | John Russell Yancey | Dentist | 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493 | 2011-04-20 |
| 1730497579 | Brian Michael Richter | Dentist | 4490 W 121st Ave # 7, Broomfield, CO 80020-5665 | 2010-09-14 |
| 1528294485 | Andreea Torok | Dentist | 413 Summit Blvd Unit 204, Broomfield, CO 80021-8295 | 2009-06-05 |
| 1891960589 | Chateaux Family & Cosmetic Dentistry | Dentist | 13606 Xavier Ln Ste F, Broomfield, CO 80023-3604 | 2008-04-24 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
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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.