person
Dr. John Dale Kloucek, DMD
General Practice Dentistry in Beaverton, Oregon
NPI 1972598357

John Dale Kloucek is a General Practice Dentistry based in Beaverton, OR and is specialized in General Practice. John Dale Kloucek practices in Beaverton, OR and has the professional credentials of DMD. The NPI Number for John Dale Kloucek is 1972598357 and holds a License No. D6358 (Oregon).

The current practice location address for John Dale Kloucek is 4130 Sw 100Th Ave, Beaverton, OR and can be reached out via phone at 503-626-0998 and via fax at 503-626-0988.

Location: 4130 Sw 100Th Ave, Beaverton, OR, 97075-1757
person
Provider Profile Details
NPI Number
1972598357
Provider Name
John Dale Kloucek
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4130 Sw 100Th Ave, Beaverton, OR, 97075-1757
Phone Number
503-626-0998
Fax Number
503-626-0988
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4130 Sw 100Th Ave
City
State
Zip
97005
Phone Number
503-626-0998
Fax Number
503-626-0988
person
Provider Business Mailing Address Details
Address
4130 Sw 100Th Ave
City
State
Zip
97005
Phone Number
503-626-0998
Fax Number
503-626-0988
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D6358 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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