Individual provider · Type 1 NPI

John Dale Kloucek, DMD

General Practice Dentistry · Beaverton, OR

NPI number 1972598357 Active

Practice location

4130 SW 100th Ave
Beaverton, OR 97005

Call (503) 626-0998 Map

Fax (503) 626-0988

Mailing address

PO Box 1757
Beaverton, OR 97075-1757

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD6358 (OR)

General Practice Dentistry: 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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About NPI 1972598357

John Dale Kloucek, DMD's National Provider Identifier is 1972598357, issued on Sep 13, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Beaverton, OR. The record was last updated on Jul 13, 2026.