Maxine Johnson, DA

Dental Assistant · Gallup, NM

Individual Active NPI

NPI number 1508015199

Practice location

516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1000
Fax
(505) 722-1565

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NPI record

NPI
1508015199
Entity type
Individual (Type 1)
Enumeration date
September 18, 2008
Last updated
September 18, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dental Assistant Primary 126800000X — —

Mailing address

PO Box 1337
Gallup, NM 87305-1337
Phone
(505) 722-1000
Fax
(505) 722-1565

About Maxine Johnson

Maxine Johnson, DA is a healthcare provider registered in the NPI registry with the primary taxonomy Dental Assistant (code 126800000X). The practice location is 516 Nizhoni Blvd, Gallup, NM 87301-5748. The NPI number 1508015199 was assigned on September 18, 2008 and the record was last updated on September 18, 2008.

Frequently asked questions

What is the NPI number of Maxine Johnson, DA?

The NPI number is 1508015199.

What is the phone number of Maxine Johnson?

The phone number listed for the practice location is (505) 722-1000.

Where is Maxine Johnson located?

516 Nizhoni Blvd, Gallup, NM 87301-5748.

What is the taxonomy code for Maxine Johnson?

The primary taxonomy code is 126800000X – Dental Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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