Jesse Johnson is a Rio Rancho, New Mexico based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jesse Johnson is
DD4776 for General Practice Dentistry in New Mexico. His current practice location is
1137 Commercial Dr Se, Rio Rancho. Patients can reach him at
505-896-9399.
Jesse Johnson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jesse Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jesse Johnson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1137 Commercial Dr Se, Rio Rancho,
New Mexico, 87124-4658 |
| Phone: | 505-896-9399 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1932624178 |
| NPI Enumeration Date: | 09 Aug, 2017 |
| NPI Last Update On: | 08 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesse Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| DD4776 | General Practice Dentistry | New Mexico | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jesse Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000 | Medicaid | New Mexico | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9201 Eagle Ranch Rd Nw,
Albuquerque, New Mexico |
| Zip: | 87114 |
| Phone Number: | 505-553-3607 |
| Fax Number: | 505-890-2949 |
Patients can reach Jesse Johnson at
1137 Commercial Dr Se, Rio Rancho, New Mexico or can
call to book an appointment on 505-896-9399.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.