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NPI Code Detail

MEDICARE: DR. KARA ANN BENKOVICH DMD, MPH

MEDICARE: DR. KARA ANN BENKOVICH DMD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD011042AZ

General Provider Information

NPI Number : 1942884093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARA ANN BENKOVICH DMD, MPH
Provider Business Mailing Address
First Line : 8824 SAVONA CT
Second Line :
City : NAPLES
State : FL
Zip : 34119-9533
Country : US
Telephone Number : 716-868-1086
Fax Number :
Provider Business Practice Location Address
First Line : 6677 W THUNDERBIRD RD STE A124
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3710
Country : US
Telephone Number : 623-223-9677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2021
Last Update Date : 04/25/2024

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