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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLI LANETTE BASS, DDS

Active

KELLI LANETTE BASS, DDS is a General Dentistry healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1417564618 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT CAMPBELL, KY

Registration Details

NPI Number
1417564618
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2020 (5.8317025029946 yrs)
Last Updated
Jun 7, 2024
License
11066 (KY)

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2707988400
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FORT CAMPBELL, KY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.