Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 7622 | KY |
Y | 1223P0221X | Pediatric Dentist | 9955 | CO |
NPI | 1013029743 |
---|---|
Provider Name | Dr. Angela Estepp Pinkerton |
First Address | Durango, CO 81301-8009 |
Second Address | Durango, CO 81301-8009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 23/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15003337 | (05) | CO |