Healthcare Provider Details

I. General information

NPI: 1154321206
Provider Name (Legal Business Name): RONALD NORTON BROWN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 E EVANS AVE BUILDING 2 - STE 231
DENVER CO
80222-5406
US

IV. Provider business mailing address

6000 E EVANS AVE BUILDING 2 - STE 231
DENVER CO
80222-5406
US

V. Phone/Fax

Practice location:
  • Phone: 303-753-9916
  • Fax: 303-753-9989
Mailing address:
  • Phone: 303-753-9916
  • Fax: 303-753-9989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberHD-1-00016
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: