KELLY CATHERINE BAST (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1740358753
Oral and Maxillofacial Surgery (Dentist)
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLY CATHERINE BAST (DDS)
3112 AIRPORT WAY STE 1
FAIRBANKS, AK 997094768
Phone: (907) 452-1250
Type: Mailing
1919, Lathrop Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
SUITE 211
FAIRBANKS, AK 997015930
Phone: (907) 452-7007
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-16
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99709)
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