Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Maxine Johnson, DA

Individual provider Dental Assistant · NPI 1508015199

MS. Maxine Johnson, DA is a Dental Assistant in Gallup, New Mexico. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1508015199
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorNo
NPI enumeratedSeptember 18, 2008
Last updated in NPPESSeptember 18, 2008
Mailing addressPo Box 1337, Gallup, NM 87305-1337

Other providers in Gallup