person
Dr. Keith Allen Van Tassell, DDS
Pediatric Dentist in Fort Collins, Colorado
NPI 1366585408

Keith Allen Van Tassell is a Pediatric Dentist based in Fort Collins, CO and is specialized in Pediatric Dentistry. Keith Allen Van Tassell practices in Fort Collins, CO and has the professional credentials of DDS. The NPI Number for Keith Allen Van Tassell is 1366585408 and holds a License No. 9197 (Colorado).

The current practice location address for Keith Allen Van Tassell is 2001 S Shields St Bldg A, Fort Collins, CO and can be reached out via phone at 970-484-4104 and via fax at 970-484-5245. You can also correspond with Keith Allen Van Tassell through the mailing address at 2001 S SHIELDS ST BLDG A, FORT COLLINS, CO - 80526-1827 (mailing address contact number: 970-484-4104).

Location: 2001 S Shields St Bldg A, Fort Collins, CO, 80526-1827
person
Provider Profile Details
NPI Number
1366585408
Provider Name
Keith Allen Van Tassell
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2001 S Shields St Bldg A, Fort Collins, CO, 80526-1827
Phone Number
970-484-4104
Fax Number
970-484-5245
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Shields St Bldg A
City
State
Zip
80526-1827
Phone Number
970-484-4104
Fax Number
970-484-5245
person
Provider Business Mailing Address Details
Address
2001 S Shields St Bldg A
City
State
Zip
80526-1827
Phone Number
970-484-4104
Fax Number
970-484-5245
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
9197 (Colorado)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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