National Provider Identifier Database

JORGE M GUTIERREZ, DDS – NPI #1043304587
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

JORGE M GUTIERREZ, DDS
3822 WEST 16 AVENUE
HIALEAH, FL33012
Phone: 305-362-5559
Fax: 305-362-2255
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JORGE M GUTIERREZ

NPI Number 1043304587
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/02/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: DN0012908
  • FL Medicaid: 073714300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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