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JACOB P PAWLOVICH
NPI 1003764788
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since March 18, 2026
530 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 583-6453 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob P Pawlovich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB P PAWLOVICH (NPI 1003764788) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1003764788
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB P PAWLOVICH
Location Address530 S WAKARA WAYSalt Lake City, UT 84108-1213
Mailing Address530 S Wakara WaySalt Lake City, UT 84108-1213
Phone(801) 583-6453
Sole ProprietorNo
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1003764788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 S WAKARA WAY, Salt Lake City, UT 84108
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRITTNEY PAULINE CISZEK DDS, PHD
Dentist (General Practice)
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-2162
BRYAN GLEN TRUMP DDS, MS
Dentist (Oral and Maxillofacial Pathology)
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6189
CALEB WOOD
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
SAGE ELIZABETH PANKEY DDS
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
LURA FRYE
Dentist
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-2162
DR. SARA LYNN QUALLS DMD
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
JULIA EMMA SAKIEWICZ DDS
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453
CLARK JOSEPH
Student in an Organized Health Care Education/Training Program
530 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Pawlovich's NPI number?

The NPI number for Jacob Pawlovich is 1003764788. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Jacob Pawlovich located?

Jacob Pawlovich practices at 530 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 583-6453.

What is Jacob Pawlovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Pawlovich was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.