Ms Jacklyn Aliza Pivovarov, DDS in Princess Anne, MD

Ms Jacklyn Aliza Pivovarov, DDS is a Dentist - General Practice based in Princess Anne, Maryland. Ms Jacklyn Aliza Pivovarov is licensed to practice in Maryland (license number LL857) and her current practice location is 12165 Elm St, Princess Anne, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 651-5151.

NPI number for Ms Jacklyn Aliza Pivovarov is 1790346229 and her current mailing address is Po Box 1978, Salisbury, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790346229.

Contact Information

	Ms Jacklyn Aliza Pivovarov, DDS
	12165 Elm St, Princess Anne, MD 21853-1358
	(410) 651-5151
	(410) 651-4256

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jacklyn Aliza Pivovarov
Gender	Female
Speciality	Dentist - General Practice
Location	12165 Elm St, Princess Anne, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1790346229
Provider Enumeration Date: 06/25/2019
Last Update Date: 07/09/2019

Medical Identifiers

Medical identifiers for Ms Jacklyn Aliza Pivovarov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790346229	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	LL857 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacklyn Aliza Pivovarov is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Jacklyn Aliza Pivovarov, DDS Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Ms Jacklyn Aliza Pivovarov, DDS 12165 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-5151

Reviews and Comments

Dentist in Princess Anne, MD

Stephen Thomas Wagner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12137 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Robert Mark Schulz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Celeste Marie Ziara, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Grace Eunheh Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Ariel Karyn Snell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Reeves Varghese Manikat, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Trent Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256

Ms Jacklyn Aliza Pivovarov, DDS - Dentist in Princess Anne, MD