MARLA KUSH PROKOP DMD PA NPI 1194949214

NPI Information

MARLA KUSH PROKOP, DMD, PA is a pediatric dentistry dentist in Annapolis, MD. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MARLA KUSH PROKOP, DMD, PA NPI is 1194949214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 RIDGELY AVE
SUITE 202
ANNAPOLIS, MD
ZIP 21401-081
Phone: (410) 897-1931
Fax: (410) 897-1932

The provider's authorized official is Marla Kush Prokop .
The authorized official title is Pediatric Dentist and has the following contact phone number (410) 897-1931.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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