Provider Demographics
NPI:1346906351
Name:KAKAR, ANKITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANKITA
Middle Name:
Last Name:KAKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 BRUSH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-2778
Mailing Address - Country:US
Mailing Address - Phone:818-746-5868
Mailing Address - Fax:
Practice Address - Street 1:2448 GUERNEVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-7223
Practice Address - Country:US
Practice Address - Phone:707-579-2808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-14
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS106876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist