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Kelly Catherine Bast, DDS
Orofacial Pain Dentist in Fairbanks, Alaska
NPI 1740358753

Kelly Catherine Bast is a Orofacial Pain Dentist based in Fairbanks, AK and is specialized in Orofacial Pain. Kelly Catherine Bast practices in Fairbanks, AK and has the professional credentials of DDS. The NPI Number for Kelly Catherine Bast is 1740358753 and holds a License No. 1188 (Alaska).

The current practice location address for Kelly Catherine Bast is 3112 Airport Way Ste 1, Fairbanks, AK and can be reached out via phone at 907-452-1250. You can also correspond with Kelly Catherine Bast through the mailing address at 3112 AIRPORT WAY STE 1, FAIRBANKS, AK - 99709-4768 (mailing address contact number: 907-452-1250).

Location: 3112 Airport Way Ste 1, Fairbanks, AK, 99709-4768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740358753
Provider Name
Kelly Catherine Bast
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3112 Airport Way Ste 1, Fairbanks, AK, 99709-4768
Phone Number
907-452-1250
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1188 01 AK STATE OF ALASKA LIC.
institution
Provider Business Practice Location Address Details
Address
3112 Airport Way Ste 1
City
Fairbanks
State
Alaska
Zip
99709-4768
Phone Number
907-452-1250
Fax Number
person
Provider Business Mailing Address Details
Address
3112 Airport Way Ste 1
City
Fairbanks
State
Alaska
Zip
99709-4768
Phone Number
907-452-1250
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
1188 (Alaska)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1188 (Alaska)
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.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
1188 (Alaska)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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