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

KELLY CATHERINE BAST, DDS

Active

KELLY CATHERINE BAST, DDS is a Oral & Maxillofacial Surgery healthcare provider located in FAIRBANKS, Alaska. NPI 1740358753 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · FAIRBANKS, AK

Registration Details

NPI Number
1740358753
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2006 (19.662863545694 yrs)
Last Updated
Sep 6, 2023
Licenses
1188 (AK)
1188 (AK)
1188 (AK)

Practice Information

Address
3112 AIRPORT WAY STE 1
FAIRBANKS, AK, 997094768
Browse AK providers · Browse ZIP 99709
Phone
9074521250
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Dentist
Additional Specialty
1223X2210X

Other Oral & Maxillofacial Surgery Providers in FAIRBANKS, AK

Name Credential NPI
STEPHEN H SUTLEY D.D.S. 1124030085
DR. SARAH J SATOW BSC., DMD, FRCDC 1023145026
DR. MICHAEL JOHN STOLTZ DMD 1417074618
MR. KENNETH W WYMAN II 1427222405
DR. RICHARD WILLIAM HOMPESCH III D.D.S. 1922325943
KRISTEN LEIGH WHETSELL DDS 1710232707
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.