Keith Van Tassell, D.D.S

NPI 1366585408 · on the registry since 2007 · sole proprietor

Practice

Address: 2001 S Shields St Bldg A
Suite 2
Fort Collins, CO 80526
Phone: (970) 484-4104
Fax: (970) 484-5245
Organisation at this address: Lori Lund, Llc
Holistic Smiles
Edie Bowman Od Llc
Jennifer Havrilla Llc
Daniel B Jinich Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 102

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado