Timothy L Gutierrez Dmd Pa
LBN: Timothy L Gutierrez Dmd Pa
Timothy L Gutierrez Dmd Pa is an health care organization with primary practice located at 1513 Carlisle Blvd Ne , Albuquerque NM 87110. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Timothy L Gutierrez Dmd Pa can be contacted via phone (505) 881-7373, or through Gutierrez, Timothy Lee 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:
Authorized official contact:
Name: Gutierrez, Timothy Lee Doctor of Dental Medicine (DMD)
Phone: (505) 881-7373
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1556 | New Mexico |
Profile Details
| NPI number | 1013070911 |
|---|---|
| LBN Legal business name | Timothy L Gutierrez Dmd Pa |
| DBA Doing business as | |
| Authorized official | Gutierrez, Timothy Lee Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013070911 | NPPES |
| New Mexico | MEDICAID | 88906 |
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