Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH ALLEN VAN TASSELL, D.D.S.
Active Sole ProprietorDR. KEITH ALLEN VAN TASSELL, D.D.S. is a Pediatric Dentistry healthcare provider located in FORT COLLINS, Colorado. NPI 1366585408 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT COLLINS, CO
Registration Details
- NPI Number
- 1366585408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2007 (19.494335366241 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9197 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 S SHIELDS ST BLDG ASUITE 2FORT COLLINS, CO, 805261827Browse CO providers · Browse ZIP 80526
- Phone
- 9704844104
- Fax
- 9704845245
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN PAULY | D.D.S. | 1659379493 |
| WILLIAM KENT DAVIS | DDS MS | 1427008044 |
| DR. MARK G KRAMER | DDS | 1144315060 |
| DR. MARYKATE RUSNAK | D.D.S. | 1033207329 |
| DR. JENNIFER K HARGLEROAD | D.D.S., M.S. | 1992894562 |
| DR. GREGORY DEAN EVANS | DDS | 1215083142 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.