IndividualActive
Juan Gutierrez, D.D.S.
NPI 1962753756 · Dentist · Manor, TX
Provider details
- NPI number
- 1962753756
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 28392 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14001 Shadow Glen Blvd
Suite E
Manor, TX 78653-3386
Phone: (512) 278-8700
Fax: (512) 278-8706
Street-level locationGet directions
Mailing address
14001 Shadow Glen Blvd
Manor, TX 78653-3386
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2012-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.