Provider Demographics
NPI:1013029743
Name:PINKERTON, ANGELA ESTEPP (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ESTEPP
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:ELAINE
Other - Last Name:ESTEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
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
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY76221223P0221X
CO99551223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15003337Medicaid