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Active NPI 1003850116 Individual Practitioner Male Practitioner

Dr. Timothy L. Ambrose , DDS

Dentist • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Ambrose, DDS is a registered healthcare professional specializing in Dentist in Gallup, NM. Practice services are available at 516 E. NIZHONI BLVD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

516 E. Nizhoni Blvd.

Gallup, NM 873011337

Telephone 5057221000
Fax 5057221565
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
19 Specialists

Practicing in Gallup, NM (630 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 5767

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000R7575 (NM)
Medicaid State Provider ID
416455 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314
Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2008

Registered at 516 E. NIZHONI BLVD., GALLUP, NM 873011337 (Tel: 5057221000)

📍
Updated Business Mailing Address April 16, 2008

Registered at PO BOX 1337, GALLUP, NM 873051337 (Tel: 5057221000)

👤
Provider Name / Credentials Updated April 16, 2008

Recorded as TIMOTHY AMBROSE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2008

Dentist (License #5767 in NE)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003850116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: April 16, 2008
Sole Proprietor: No

Mailing Address

Po Box 1337

Gallup, NM 873051337

Phone: 5057221000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.