Timothy L Gutierrez Dmd Pa in Albuquerque - Oral And Maxillofacial Surgery
Timothy L Gutierrez Dmd Pa - NPI 1013070911
Timothy L Gutierrez Dmd Pa is a Oral And Maxillofacial Surgery in Albuquerque, New Mexico. Timothy L Gutierrez Dmd Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Timothy L Gutierrez Dmd Pa is 1013070911. The last update date is 2020-08-22.
Timothy L Gutierrez Dmd Pa'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 Dmd Pa is 1513 Carlisle Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy L Gutierrez Dmd Pa |
|---|---|
| Address | 1513 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Phone Number | 5058817373 |
| Fax Number | 5058815096 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL MAXIL |
|---|---|
| Authorized Official Name | Gutierrez Lee Timothy |
| Credentials | DMD |
| Telephone Number | 5058817373 |
NPI Number Detail
| NPI Number | 1013070911 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2020-08-22 |
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 | -- |
Post Comment/ Review Below
What is the Timothy L Gutierrez Dmd Pa's 1013070911?
The Timothy L Gutierrez Dmd Pa's NPI (National Provider Identifier) Number is 1013070911. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Timothy L Gutierrez Dmd Pa is physically located?
The Timothy L Gutierrez Dmd Pa is physically situated at the following address: 1513 Carlisle Blvd Ne, Albuquerque, NM, 87110.
What is Timothy L Gutierrez Dmd Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy L Gutierrez Dmd Pa is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When was the Timothy L Gutierrez Dmd Pa's 1013070911 issued?
The Timothy L Gutierrez Dmd Pa's 1013070911 was issued on 2006-12-19.
When was the information pertaining to Timothy L Gutierrez Dmd Pa most recently updated or revised?
The details related to Timothy L Gutierrez Dmd Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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