Provider Demographics
NPI:1740081090
Name:ANGEL J PINTO DDS, A DENTAL CORPORATION
Entity type:Organization
Organization Name:ANGEL J PINTO DDS, A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-430-6196
Mailing Address - Street 1:9015 BRUCEVILLE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5958
Mailing Address - Country:US
Mailing Address - Phone:916-430-6196
Mailing Address - Fax:
Practice Address - Street 1:9015 BRUCEVILLE RD STE 130
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-5958
Practice Address - Country:US
Practice Address - Phone:916-430-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-22
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty