Individual provider · Type 1 NPI

Manuel A. Gutierrez, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Staten Island, NY

NPI number 1417088402 Active

Practice location

3010 Amboy Rd Ste 2
Staten Island, NY 10306-2015

Call (813) 766-8081 Map

Mailing address

18808 Forest Glen Ct
Tampa, FL 33647-1883

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN15666 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1417088402

Manuel A. Gutierrez, DDS's National Provider Identifier is 1417088402, issued on Mar 8, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Staten Island, NY. The record was last updated on Aug 16, 2026.