Dr. Brett Alan Bass, DDS, PC
Dentist, General Practice in Kodiak, AK. Individual provider (NPI-1).
NPI number1952310138
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1952310138
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brett Alan Bass
- Credential
- DDS, PC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12009451 | IN | Yes |
Practice location
1317 Mill Bay RdKodiak, AK 99615-6411
Phone 907-486-3291 · Fax 907-486-3015
Mailing address
1317 Mill Bay RdKodiak, AK 99615-6411
Phone 907-486-3291 · Fax 907-486-3015
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