Kelli Lanette Bass
Dental Public Health Dentist - General Practice
1712 N Access Rd
Clyde
, Texas 79510-3352
Kelli Lanette Bass
Dental Public Health Dentist - General Practice
1712 N Access Rd
Clyde
, Texas 79510-3352
(210) 718-9616
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Kelli Lanette Bass
- 5134 Spring Creek Rd
- Abilene, TX
- Zip : 79602-7044
- Phone : (210) 718-9616
Second Address
- Kelli Lanette Bass
- 1712 N Access Rd
- Clyde, TX
- Zip : 79510-3352
- Phone : (325) 893-4010
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FAQs
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Is Kelli Lanette Bass accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 36725 | TX |
| Y | 1223G0001X | General Practice | 36725 | TX |
| Y | 213EG0000X | General Practice | 36725 | TX |
National Provider Identifier
| NPI | 1417564618 |
|---|---|
| Provider Name | Kelli Lanette Bass |
| First Address | Abilene, TX 79602-7044 |
| Second Address | Clyde, TX 79510-3352 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2020 |
| Last Update Date | 29/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.