Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jacklyn Aliza Pivovarov, DDS

Individual provider General Practice Dentistry · NPI 1790346229

MS. Jacklyn Aliza Pivovarov, DDS is a General Practice Dentistry in Princess Anne, Maryland. Licensed in Maryland. Registered with an NPI since 2019.

Licensed in
MD
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12165 Elm St
Princess Anne, MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence LL857 (MD)

Record details

NPI number1790346229
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESJuly 9, 2019

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