Organization
NM SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE E JANCSICS RDH (OWNER)
(505) 980-0070
Entity
Organization
Contact information
Practice address
4943 STORY ROCK ST NW, ALBUQUERQUE, NM 87120-3703
(505) 980-0070
Mailing address
4943 STORY ROCK ST NW, ALBUQUERQUE, NM 87120-3703
(505) 980-0070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1503
NM
124Q00000X
Dental Hygienist
DH2266
NM
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up