NPI 1194125351

John M Gallucci DMD PC

Organisation General Practice Dentistry Oregon City, OR

Practice location

Address: 1017 Molalla Ave Suite 1, Oregon City, OR 97045-3772
Phone: (503) 657-7770
Fax: (503) 657-9832

Authorised official

Name: John Matthew Gallucci
Title: President
Phone: (503) 657-7770

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D9304 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1194125351
Entity type: Organization
NPI issued: 25 Aug 2014
Record last updated: 30 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.