KELLY BAST, DDS
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1740358753
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 1188 (AK) |
| Dentist | 122300000X | No | 1188 (AK) |
| Dentist - Orofacial Pain | 1223X2210X | No | 1188 (AK) |
Frequently Asked Questions
NPI 1740358753 is the National Provider Identifier for KELLY BAST, DDS, a Dentist - Oral and Maxillofacial Surgery provider located in Fairbanks, AK. This NPI was enumerated on November 30, 2006.
KELLY BAST, DDS practices at 3112 AIRPORT WAY STE 1, Fairbanks, AK 99709.
Quick Facts
- NPI
- 1740358753
- Type
- Individual
- Enumerated
- Nov 30, 2006
- Last Updated
- Sep 6, 2023
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