NPI 1003850116

Timothy L. Ambrose, DDS

Practitioner Dentist Gallup, NM

Practice location

Address: 516 E. Nizhoni Blvd., Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1565
Mailing address: PO Box 1337, Gallup, NM 87305-1337

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5767 (NE)

Other Dentist providers in New Mexico →

Registry record

NPI: 1003850116
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2006
Record last updated: 16 Apr 2008

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.