Gutierrez, Timothy L
Gutierrez, Timothy L is an individual health care provider with primary practice located at 1513 Carlisle Blvd Ne , Albuquerque NM 87110. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gutierrez, Timothy L can be contacted via phone (505) 881-7373.Contact Information
Primary practice address
1513 Carlisle Blvd Ne
Albuquerque NM 87110
Phone: (505) 881-7373
Fax: (505) 881-5096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1556 | New Mexico |
Profile Details
| NPI number | 1275613788 |
|---|---|
| LBN Legal business name | Gutierrez, Timothy L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275613788 | NPPES |
| New Mexico | MEDICAID | 88906 |
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