Provider Demographics
NPI:1487465191
Name:DURANGO KIDS PEDIATRIC DENTISTRY GENERAL PARTNERSHIP
Entity type:Organization
Organization Name:DURANGO KIDS PEDIATRIC DENTISTRY GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ESTEPP
Authorized Official - Last Name:PINKERTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:970-317-1499
Mailing Address - Street 1:20 PIONEER AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8009
Mailing Address - Country:US
Mailing Address - Phone:970-259-0600
Mailing Address - Fax:970-259-0788
Practice Address - Street 1:20 PIONEER AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8009
Practice Address - Country:US
Practice Address - Phone:970-259-0600
Practice Address - Fax:970-259-0788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9955OtherPEDIATRIC DENTIST
CO1437405503OtherPEDIATRIC DENTIST
CO204997OtherPEDIATRIC DENTIST
CO1013029743OtherPEDIATRIC DENTIST