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JOHN M GALLUCCI DMD PC NPI 1194125351


NPI Information

NPI: 1194125351
Provider Name: JOHN M GALLUCCI DMD PC

Doing Business As: CASCADE SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1017 MOLALLA AVE
SUITE 1
OREGON CITY, OR
ZIP 97045
Phone: (503) 657-7770
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JOHN M GALLUCCI DMD PC is a general practice dentist in Oregon City, OR. The provider is 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. JOHN M GALLUCCI DMD PC NPI is 1194125351. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cascade Smiles.

The provider's business location address is:

1017 MOLALLA AVE
SUITE 1
OREGON CITY, OR
ZIP 97045-772
Phone: (503) 657-7770
Fax: (503) 657-9832

The provider's authorized official is John Matthew Gallucci .
The authorized official title is President and has the following contact phone number (503) 657-7770.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 9/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD9304OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17186950001MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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