Individual provider · Type 1 NPI
Brian T. Bast, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · San Francisco, CA
Practice location
513 Parnassus Ave Rm S738
San Francisco, CA 94143-2205
Fax (415) 476-0665
Mailing address
1635 Divisadero St, Suite 625, Box 1821
San Francisco, CA 94143-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | A77023 (CA) |
Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1689693087
Brian T. Bast, DMD, MD's National Provider Identifier is 1689693087, issued on Jul 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Francisco, CA. The record was last updated on Jul 9, 2007.