OrganizationActive
Timothy L Gutierrez DMD PA
NPI 1013070911 · Oral and Maxillofacial Surgery (Dentist) · Albuquerque, NM
Provider details
- NPI number
- 1013070911
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Timothy Gutierrez, Oral Maxillofacial Surgeon
- License
- 1556 (NM)
Practice location
1513 Carlisle Blvd Ne
Albuquerque, NM 87110
Phone: (505) 881-7373
Fax: (505) 881-5096
Mailing address
1513 Carlisle Blvd Ne
Albuquerque, NM 87110
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.