IndividualActive
Max Wahoske, DMD
NPI 1245907641 · Dentist · Farmington, NM
Provider details
- NPI number
- 1245907641
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DD5514 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3150 E Main St Ste A55
Farmington, NM 87402-7630
Phone: (505) 436-3569
Street-level locationGet directions
Mailing address
4212 Sedona Ct
Farmington, NM 87401-9280
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.