Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN DALE KLOUCEK, DMD
ActiveDR. JOHN DALE KLOUCEK, DMD is a General Dentistry healthcare provider located in BEAVERTON, Oregon. NPI 1972598357 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BEAVERTON, OR
Registration Details
- NPI Number
- 1972598357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (20.905472117995 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D6358 (OR)
Practice Information
- Address
-
4130 SW 100TH AVEBEAVERTON, OR, 97005Browse OR providers · Browse ZIP 97005
- Phone
- 5036260998
- Fax
- 5036260988
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM DEAN KIRKLAND | DDS | 1619979739 |
| DR. RONALD DAVID WISMER | DMD | 1124023627 |
| DR. BRIAN MICHAEL SPANGLER | D.D.S | 1679571962 |
| DR. DAVID JAMES SPANGLER | D.D.S. | 1851399083 |
| THAO NGUYEN | D.M.D | 1295733293 |
| THOMAS T PHAM | DMD | 1336148030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.