NPI 1013070911

Timothy L Gutierrez DMD PA

Organisation Oral and Maxillofacial Surgery (Dentist) Albuquerque, NM

Practice location

Address: 1513 Carlisle Blvd NE, Albuquerque, NM 87110
Phone: (505) 881-7373
Fax: (505) 881-5096

Authorised official

Name: Timothy Lee Gutierrez
Title: Oral Maxillofacial Surgeon
Phone: (505) 881-7373

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 1556 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1013070911
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.