Timothy L. Ambrose in Gallup - Dentist

Timothy L. Ambrose - NPI 1003850116

Timothy L. Ambrose is a Dentist in Gallup, New Mexico. Timothy L. Ambrose practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy L. Ambrose is 1003850116. The last update date is 2008-04-16.

Timothy L. Ambrose's current location address is Po Box 1337, Gallup, New Mexico. You can contact this provider via phone number 5057221000 and fax number 5057221565. The mailing address for Timothy L. Ambrose is Po Box 1337, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy L. Ambrose
Address Po Box 1337, Gallup, New Mexico
Phone Number 5057221000
Fax Number 5057221565
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1003850116
Provider Enumeration Date 2006-06-16
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address Po Box 1337
City Gallup
State New Mexico (NM)
Post Code 873051337
Phone Number 5057221000
Fax Number 5057221565

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5767
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000R7575 NM --
416455 AZ --

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FAQs about Timothy L. Ambrose

What is the unique 10-digit identification code assigned to Timothy L. Ambrose by the Centers for Medicare & Medicaid Services?

The Timothy L. Ambrose has been issued the NPI (National Provider Identifier) 1003850116, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Timothy L. Ambrose?

The Timothy L. Ambrose is situated at Po Box 1337, in the city of Gallup, state of NM, with the zip code 873051337.

What is Timothy L. Ambrose's specialized field of practice, and what is the corresponding taxonomy classification code?

The Timothy L. Ambrose's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003850116 to Timothy L. Ambrose?

The Timothy L. Ambrose received its 1003850116 assignment from the Centers for Medicare & Medicaid Services on 2006-06-16.

As of what date were the details related to Timothy L. Ambrose most recently updated or revised?

The information pertaining to Timothy L. Ambrose, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-16.

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