TIMOTHY L GUTIERREZ DMD PA
NPI 1013070911
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Active since December 19, 2006
1513 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110(505) 881-7373(505) 881-5096 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy L Gutierrez Dmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY L GUTIERREZ DMD PA (NPI 1013070911) is a healthcare organization registered as an oral and maxillofacial surgery in Albuquerque, New Mexico and active in the NPI registry since December 2006. The organization lists Timothy Lee Gutierrez, Oral Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1013070911
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTIMOTHY L GUTIERREZ DMD PA
Location Address1513 CARLISLE BLVD NEAlbuquerque, NM 87110
Mailing Address1513 Carlisle Blvd NeAlbuquerque, NM 87110 · (505) 881-7373 · Fax (505) 881-5096
Fax(505) 881-5096
Organization SubpartNo
Authorized OfficialTimothy Lee GutierrezOral Maxillofacial Surgeon · (505) 881-7373
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1013070911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NM · 1556
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1513 CARLISLE BLVD NE, Albuquerque, NM 87110

Other Identifiers 1

Medicaid88906NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1513 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Dentist (Oral and Maxillofacial Surgery)
1513 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Dentist (Oral and Maxillofacial Surgery)
1513 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy L Gutierrez Dmd PA's NPI number?

The NPI number for Timothy L Gutierrez Dmd PA is 1013070911. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Timothy L Gutierrez Dmd PA located?

Timothy L Gutierrez Dmd PA is located at 1513 Carlisle Blvd NE, Albuquerque, NM 87110. The listed phone number is (505) 881-7373.

What is Timothy L Gutierrez Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Timothy L Gutierrez Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.