Provider Demographics
NPI:1245500362
Name:DURANGO KIDS PEDIATRIC DENTISTRY, P.C.
Entity type:Organization
Organization Name:DURANGO KIDS PEDIATRIC DENTISTRY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
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:970-259-0600
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:2012-01-05
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COL201200931223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty