# ELK RIDGE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194247510
- **Authorized official:** DR. CHAD R BROWN DDS (OWNER)
- **Authorized official phone:** (970) 586-5657

## Contact information

- **Practice address:** 131 STANLEY AVE STE 201, ESTES PARK, CO 80517-6356
- **Practice address phone:** (970) 586-5657
- **Mailing address:** 131 STANLEY AVE STE 201, ESTES PARK, CO 80517-6356
- **Mailing address phone:** (970) 586-5657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 202462 | CO | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2017
- **Last updated:** 07/21/2022