Timothy L Gutierrez in Albuquerque - Oral And Maxillofacial Surgery

Timothy L Gutierrez - NPI 1275613788

Timothy L Gutierrez is a Oral And Maxillofacial Surgery in Albuquerque, New Mexico. Timothy L Gutierrez practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Timothy L Gutierrez is 1275613788. The last update date is 2007-07-08.

Timothy L Gutierrez's current location address is 1513 Carlisle Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058817373 and fax number 5058815096. The mailing address for Timothy L Gutierrez is 1513 Carlisle Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy L Gutierrez
Address 1513 Carlisle Blvd Ne, Albuquerque, New Mexico
Phone Number 5058817373
Fax Number 5058815096
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1275613788
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1513 Carlisle Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 87110
Phone Number 5058817373
Fax Number 5058815096

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 1556
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
88906 NM --

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FAQs about Timothy L Gutierrez

What is the unique identification code assigned to Timothy L Gutierrez by the Centers for Medicare & Medicaid Services?

The Timothy L Gutierrez has been issued the NPI (National Provider Identifier) 1275613788. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Timothy L Gutierrez is physically located?

The Timothy L Gutierrez is physically situated at the following address: 1513 Carlisle Blvd Ne, Albuquerque, NM, 87110.

What is Timothy L Gutierrez's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Timothy L Gutierrez is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date was the 1275613788 assigned to Timothy L Gutierrez?

The Timothy L Gutierrez was issued its 1275613788 on 2006-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Timothy L Gutierrez most recently updated or revised?

The details related to Timothy L Gutierrez, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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