Most Relevant Information
Provider Data
| NPI Number: | 1003657164 |
| Provider Name: | MAGGIE JANE PROKOVICH |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DS044659 |
Most Important Dates
| Enumeration Date: | 06/03/2024 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
2807 WILMINGTON RD
NEW CASTLE
PA
161051263
Practice Location Phone/Fax
| Phone: | 7246563486 |
| Fax: |
Provider Mailing Location
100 SHENANGO AVE
SHARON
PA
161461503
Provider Mailing Phone/Fax
| Phone: | 7174470340 |
| Fax: |