Maria A Leon-Gandara, D.M.D.
Individual provider Active NPI General Practice Dentistry · Crownpoint, NM
NPI 1093932873 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1093932873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1894 (PR)
- Practice address
- PO Box 358
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1894 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1894 | PR | Yes |
Addresses
Primary practice location
PO Box 358
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1894 | Other | PR | DENTIST LICENSE |
Other providers in Crownpoint, NM
- Monica Freund Kaufman
- Verna Ann Kenneth
- Kinyaani Home Care LLC
- Donald Kulas
- Shirley Lee
- Matthew Liaw
- Christopher Looney
- Elizabeth Lynch
- Alfred Matthew Macaltao
- Monika Rae Martinez
All providers in Crownpoint, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.