Ms. Jacklyn Aliza Pivovarov is a Princess Anne, Maryland based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ms. Jacklyn Aliza Pivovarov is LL857 for General Practice Dentistry in Maryland. Her current practice location is 12165 Elm St, Princess Anne. Patients can reach her at 410-651-5151.
Ms. Jacklyn Aliza Pivovarov is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ms. Jacklyn Aliza Pivovarov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ms. Jacklyn Aliza Pivovarov
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
12165 Elm St, Princess Anne, Maryland, 21853-1358
Phone:
410-651-5151
Fax:
410-651-4256
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790346229
NPI Enumeration Date:
25 Jun, 2019
NPI Last Update On:
09 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jacklyn Aliza Pivovarov are as mentioned below.
License Number
Specialization
State
Status
LL857
General Practice Dentistry
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Jacklyn Aliza Pivovarov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
119591300
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1978, Salisbury, Maryland
Zip:
21802-1978
Phone Number:
410-749-1015
Fax Number:
410-749-0654
Patients can reach Ms. Jacklyn Aliza Pivovarov at 12165 Elm St, Princess Anne, Maryland or can call to book an appointment on 410-651-5151. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.