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MS. JACKLYN ALIZA PIVOVAROV DDS
NPI 1790346229
Dentist - General Practice in Princess Anne, MD

Active since June 25, 2019
12165 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-4256 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jacklyn Aliza Pivovarov Dds NPPES

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

MS. JACKLYN ALIZA PIVOVAROV DDS (NPI 1790346229) is an individual general practice provider in Princess Anne, Maryland, licensed in Maryland (LL857) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1790346229
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMS. JACKLYN ALIZA PIVOVAROVCredential: DDS
Location Address12165 ELM STPrincess Anne, MD 21853-1358
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 651-5151
Fax(410) 651-4256
Sole ProprietorNo
Enumeration DateJune 25, 2019
Last NPPES UpdateJuly 9, 2019
✔ NPI 1790346229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · LL857
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12165 ELM ST, Princess Anne, MD 21853
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Other Identifiers 1

Medicaid119591300MD

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.

MISS ROSHNI MINHAS DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. ROBERT MARK SCHULZ DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. CELESTE MARIE ZIARA DDS
Dentist
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. ARIEL KARYN SNELL DMD
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. REEVES VARGHESE MANIKAT DMD
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. TRENT JOHNSON DMD
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. TAMMARA MARIE BELL DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. PATRICK RAYMOND HOLMLUND DDS
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151

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 Jacklyn Pivovarov's NPI number?

The NPI number for Jacklyn Pivovarov is 1790346229. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Jacklyn Pivovarov located?

Jacklyn Pivovarov practices at 12165 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Jacklyn Pivovarov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacklyn Pivovarov was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.