| Donald P. Prohovich, Dds, Pc | |
|
44 Center St North Easton MA 02356-1853 | |
| (508) 238-3313 | |
| (508) 238-6991 |
| Full Name | Donald P. Prohovich, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 44 Center St, North Easton, Massachusetts |
| Authorized Official Name and Position | Dolly Prohovich (OFFICE MANAGER) |
| Authorized Official Contact | 5082383313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald P. Prohovich, Dds, Pc Po Box 74 44 Center Street North Easton MA 02356-0074 Ph: (508) 238-3313 | Donald P. Prohovich, Dds, Pc 44 Center St North Easton MA 02356-1853 Ph: (508) 238-3313 |
| NPI Number | 1093848533 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 04/19/2018 |
| Medicare PECOS PAC ID | 9234491648 |
|---|---|
| Medicare Enrollment ID | O20200506001233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093848533 | NPI | - | NPPES |
| 9776052 | Other | MA | BILLING MEDICAID NUMBER |
| 0265993 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15891 (Massachusetts) | Primary |
| Provider Name | Donald P Prohovich |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649290222 PECOS PAC ID: 9335447168 Enrollment ID: I20200506001555 |
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