GARY WILLIAM CUTTRELL (NPI# 1720085749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720085749 |
| Entity Type | Individual |
| Full Name | GARY WILLIAM CUTTRELL |
| Credential | DDS |
| Practice Address |
1801 Camino De Salud Ne Suite 1100 Albuquerque NM 87102-4516 |
| Mailing Address |
1730 Soplo Rd Se Albuquerque NM 87123-4485 |
| Practice Telephone | 5059257755 |
| Practice Fax Number | 5059257800 |
| Mailing Telephone | 5059257755 |
| Mailing Fax Number | 5059257800 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DD2136 | NM | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30-01-9397 | OH | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
DD2136 | NM | Dental Providers |
| Street Address |
1801 CAMINO DE SALUD NE SUITE 1100 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447898 | Marc Bernard Appelbaum | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2005-06-21 |
| 1184016933 | Puja Bhakta | Student in an Organized Health Care Education/Training Program | 1801 Camino De Salud Ne, Suite #1200, Albuquerque, NM 87102-4516 | 2015-03-02 |
| 1477973295 | Mathew Randle Dennison | Student in an Organized Health Care Education/Training Program | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2014-04-19 |
| 1801163233 | Trang T Lucero | Dental Hygienist | 1801 Camino De Salud Ne, Albuquerque, NM 87102 | 2011-11-30 |
| 1770879694 | Unm Medical Group Inc | Clinic/Center | 1801 Camino De Salud Ne, Suite 1100, Albuquerque, NM 87102-4516 | 2011-06-20 |
| 1720318439 | Jason Flores | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2009-12-31 |
| 1740419100 | Melissa Ivers | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102 | 2009-07-07 |
| 1841484763 | University of New Mexico Dental Services | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-0001 | 2007-09-04 |
| 1710069877 | George Yarbrough | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2006-10-19 |
| 1346222668 | Peter Marshall Jensen | Dentist | 1801 Camino De Salud Ne, Suite 1200, Albuquerque, NM 87102-4516 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.