John Dale Kloucek in Beaverton - General Practice
John Dale Kloucek - NPI 1972598357
John Dale Kloucek is a General Practice in Beaverton, Oregon. John Dale Kloucek practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Dale Kloucek is 1972598357. The last update date is 2007-07-08.
John Dale Kloucek's current location address is Po Box 1757, Beaverton, Oregon. You can contact this provider via phone number 5036260998 and fax number 5036260988. The mailing address for John Dale Kloucek is Po Box 1757, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Dale Kloucek |
|---|---|
| Address | Po Box 1757, Beaverton, Oregon |
| Phone Number | 5036260998 |
| Fax Number | 5036260988 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1972598357 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1757 |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970751757 |
| Phone Number | 5036260998 |
| Fax Number | 5036260988 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6358 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to John Dale Kloucek by the Centers for Medicare & Medicaid Services?
The John Dale Kloucek has been assigned the NPI (National Provider Identifier) 1972598357. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Dale Kloucek is located?
The John Dale Kloucek is situated at the following address: Po Box 1757, Beaverton, OR, 970751757.
What is John Dale Kloucek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Dale Kloucek is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972598357 to John Dale Kloucek?
The Centers for Medicare & Medicaid Services assigned the 1972598357 to John Dale Kloucek on 2005-09-13.
As of what date were the details pertaining to John Dale Kloucek last refreshed?
The information related to the John Dale Kloucek, including its address, specialty, and other relevant details, was last updated on 2007-07-08.