IndividualActive
Jacklyn Pivovarov, DDS
NPI 1790346229 · General Practice Dentistry · Princess Anne, MD
Jacklyn Pivovarov, DDS is a General Practice Dentistry provider in Princess Anne, MD (NPI 1790346229).
Provider details
- NPI number
- 1790346229
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- LL857 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12165 Elm St
Princess Anne, MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Street-level locationGet directions
Mailing address
Po Box 1978
Salisbury, MD 21802-1978
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2019-07-09
Frequently asked questions
- What is Jacklyn Pivovarov's NPI number?
- Jacklyn Pivovarov's National Provider Identifier (NPI) is 1790346229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Pivovarov's specialty?
- Jacklyn Pivovarov is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jacklyn Pivovarov located?
- Jacklyn Pivovarov's practice location on file with NPPES is 12165 Elm St, Princess Anne, MD 21853-1358.
- What is Jacklyn Pivovarov's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Pivovarov is (410) 651-5151.
- Is Jacklyn Pivovarov's NPI active?
- Yes — Jacklyn Pivovarov's NPI (1790346229) is active in the NPPES registry as of the last update on 2019-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.