Provider Demographics
NPI:1942884093
Name:BENKOVICH, KARA ANN (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:ANN
Last Name:BENKOVICH
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:BENKOVICH
Other - Last Name:KALAMCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD MPH
Mailing Address - Street 1:8824 SAVONA CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-9533
Mailing Address - Country:US
Mailing Address - Phone:716-868-1086
Mailing Address - Fax:
Practice Address - Street 1:6677 W THUNDERBIRD RD STE A124
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3710
Practice Address - Country:US
Practice Address - Phone:623-223-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011042122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist