Provider Demographics
NPI:1629147798
Name:V A PINKERTON DDS PC
Entity Type:Organization
Organization Name:V A PINKERTON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PINKERTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-881-7693
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty