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PEDIATRIC DENTISTRY OF THE ROCKIES
NPI 1144498999
Dentist - Pediatric Dentistry in Fort Collins, CO

Active since February 14, 2008
4609 S TIMBERLINE RD, SUITE 103B, FORT COLLINS, CO 80528(970) 484-4104(970) 484-5245 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 23, 2018, Nov 22, 2016 (2 updates tracked since 2016).

About Pediatric Dentistry Of The Rockies NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF THE ROCKIES (NPI 1144498999) is a healthcare organization registered as a pediatric dentistry in Fort Collins, Colorado and active in the NPI registry since February 2008. The organization lists Keith Allen Van Tassell, President/owner, as its authorized official.

NPPES Registry Identity

NPI1144498999
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF THE ROCKIES PLLC
Location Address4609 S TIMBERLINE RD, SUITE 103BFort Collins, CO 80528-3170
Mailing Address4609 S Timberline Rd, Suite 103bFort Collins, CO 80528-3170 · (970) 484-4104 · Fax (970) 484-5245
Phone(970) 484-4104
Fax(970) 484-5245
Organization SubpartNo
Authorized OfficialKeith Allen Van TassellPresident/owner · (970) 484-4104
Enumeration DateFebruary 14, 2008
Last NPPES UpdateOctober 23, 20182 updates tracked since enumeration
✔ NPI 1144498999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CO · 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.
4609 S TIMBERLINE RD, Fort Collins, CO 80528
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Other Names 1

Doing Business AsPediatric Dentistry Of The Rockies

Other Identifiers 1

Medicaid82906505CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACH ALLEMAN DDS
Dentist (Pediatric Dentistry)
4609 S TIMBERLINE RD, SUITE 103B
FORT COLLINS, CO 80528
Larimer County (970) 484-4104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of The Rockies PLLC's NPI number?

The NPI number for Pediatric Dentistry Of The Rockies PLLC is 1144498999. It was assigned to this organization in the NPPES registry on February 14, 2008. The provider is doing business as Pediatric Dentistry Of The Rockies.

Where is Pediatric Dentistry Of The Rockies PLLC located?

Pediatric Dentistry Of The Rockies PLLC is located at 4609 S Timberline Rd Suite 103B, Fort Collins, CO 80528. The listed phone number is (970) 484-4104.

What is Pediatric Dentistry Of The Rockies PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of The Rockies PLLC was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.