Provider Demographics
NPI:1417136839
Name:PINKERTON, VALARIE ANN (DDS)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:ANN
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6373 E TANQUE VERDE RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3851
Mailing Address - Country:US
Mailing Address - Phone:520-881-7693
Mailing Address - Fax:520-296-9300
Practice Address - Street 1:6373 E TANQUE VERDE RD
Practice Address - Street 2:SUITE 250
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3851
Practice Address - Country:US
Practice Address - Phone:520-881-7693
Practice Address - Fax:520-296-9300
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice