NPI 1003657164

Maggie Jane Prokovich

Practitioner Dentist Pittsburgh, PA

Practice location

Address: 8620 Duncan Ave, Pittsburgh, PA 15237-5884
Phone: (412) 367-2250
Mailing address: 930 Skyline Dr, Ellwood City, PA 16117-1475

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS044659 (PA)

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Registry record

NPI: 1003657164
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2024
Record last updated: 6 Apr 2026

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.