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Organization

DONALD P. PROHOVICH, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOLLY PROHOVICH (OFFICE MANAGER)
(508) 238-3313
Entity
Organization

Contact information

Practice address
44 CENTER ST, NORTH EASTON, MA 02356-1853
(508) 238-3313
(508) 238-6991
Mailing address
PO BOX 74, 44 CENTER STREET, NORTH EASTON, MA 02356-0074
(508) 238-3313
(508) 238-6991

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15891
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0265993
MA
01
9776052
BILLING MEDICAID NUMBER
MA
Enumeration date
03/13/2007
Last updated
04/19/2018
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