Individual provider · Type 1 NPI

Jacklyn Aliza Pivovarov, DDS

General Practice Dentistry · Princess Anne, MD

NPI number 1790346229 Active

Practice location

12165 Elm St
Princess Anne, MD 21853-1358

Call (410) 651-5151 Map

Fax (410) 651-4256

Mailing address

PO Box 1978
Salisbury, MD 21802-1978

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XLL857 (MD)

General Practice Dentistry: 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.

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About NPI 1790346229

Jacklyn Aliza Pivovarov, DDS's National Provider Identifier is 1790346229, issued on Jun 25, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Princess Anne, MD. The record was last updated on Jul 9, 2019.