Keith Allen Van Tassell in Fort Collins - Pediatric Dentistry
Keith Allen Van Tassell - NPI 1366585408
Keith Allen Van Tassell is a Pediatric Dentistry in Fort Collins, Colorado. Keith Allen Van Tassell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Keith Allen Van Tassell is 1366585408. The last update date is 2007-07-08.
Keith Allen Van Tassell's current location address is 2001 S Shields St Bldg A, Fort Collins, Colorado. You can contact this provider via phone number 9704844104 and fax number 9704845245. The mailing address for Keith Allen Van Tassell is 2001 S Shields St Bldg A, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Allen Van Tassell |
|---|---|
| Address | 2001 S Shields St Bldg A, Fort Collins, Colorado |
| Phone Number | 9704844104 |
| Fax Number | 9704845245 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1366585408 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2001 S Shields St Bldg A |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805261827 |
| Phone Number | 9704844104 |
| Fax Number | 9704845245 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 9197 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Keith Allen Van Tassell by the Centers for Medicare & Medicaid Services?
The Keith Allen Van Tassell has been assigned the NPI (National Provider Identifier) 1366585408. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Keith Allen Van Tassell is physically located?
The Keith Allen Van Tassell is situated at the following address: 2001 S Shields St Bldg A, Fort Collins, CO 805261827.
What is Keith Allen Van Tassell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keith Allen Van Tassell is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When did the Keith Allen Van Tassell receive its 1366585408?
The Keith Allen Van Tassell was issued its 1366585408 on 2007-02-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Keith Allen Van Tassell's details last updated?
The information pertaining to the Keith Allen Van Tassell, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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