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Dr. Brian T. Bast, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in San Francisco, California
NPI 1689693087

Brian T. Bast is a Oral and Maxillofacial Surgery (Dentist) based in San Francisco, CA and is specialized in Oral and Maxillofacial Surgery. Brian T. Bast practices in San Francisco, CA and has the professional credentials of DMD,MD. The NPI Number for Brian T. Bast is 1689693087 and holds a License No. A77023 (California).

The current practice location address for Brian T. Bast is 513 Parnassus Ave Rm S738, San Francisco, CA and can be reached out via phone at 415-476-3242 and via fax at 415-476-0665. You can also correspond with Brian T. Bast through the mailing address at 1635 DIVISADERO ST, SAN FRANCISCO, CA - 94143-0001 (mailing address contact number: 415-476-4029).

Location: 513 Parnassus Ave Rm S738, San Francisco, CA, 94143-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689693087
Provider Name
Brian T. Bast
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
513 Parnassus Ave Rm S738, San Francisco, CA, 94143-0001
Phone Number
415-476-3242
Fax Number
415-476-0665
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A770230 05 CA
institution
Provider Business Practice Location Address Details
Address
513 Parnassus Ave Rm S738
City
San Francisco
State
California
Zip
94143-2205
Phone Number
415-476-3242
Fax Number
415-476-0665
person
Provider Business Mailing Address Details
Address
1635 Divisadero St
City
San Francisco
State
California
Zip
94143-0001
Phone Number
415-476-4029
Fax Number
415-476-4150
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
A77023 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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