Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Catherine Bast, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1740358753

Kelly Catherine Bast, DDS is an Oral and Maxillofacial Surgery (Dentist) in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3112 Airport Way Ste 1
Fairbanks, AK 99709-4768
Phone: (907) 452-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1188 (AK)
Dentist Taxonomy 122300000X · Licence 1188 (AK)
Orofacial Pain Dentistry Taxonomy 1223X2210X · Licence 1188 (AK)

Record details

NPI number1740358753
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing address3112 Airport Way Ste 1, Fairbanks, AK 99709-4768

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