Kyle Prohovich DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KYLE PROHOVICH DMD LLC

Practice address

44 Center St
North Easton, MA 02356

Phone

(617) 335-2650

NPI assigned

Sep 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle Prohovich, DMD

Title

Dr.

Phone

(617) 335-2650

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1356824858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CENTER ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CENTER ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "617-335-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE PROHOVICH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PROHOVICH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "617-335-2650",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Kozak, MSW, LICSW
• Kozol Vision Center Inc (Kozol Vision Center)
• Neil David Kozol, O.D.
• Peter Krysko, MED, LATC
• Alison Kuechler, DPT
• Sonya Lynn Lachance, FNP-C
• Tayla Laplante, BCBA
• Chelsea Marie Laracy, PHARMD
• Donna Lareau, PT
• Mark Thomas Lareau, PT

• Dental Clinic/Center in North Easton, MA
• Providers in North Easton, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.