Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Dentistry of the Rockies PLLC

Organization Pediatric Dentistry · NPI 1144498999

Pediatric Dentistry of the Rockies PLLC is a Pediatric Dentistry in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4609 S Timberline Rd Ste 103B
Fort Collins, CO 80528-3170
Phone: (970) 484-4104
Fax: (970) 484-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9197 (CO)

Record details

NPI number1144498999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Van Tassell — President/Owner · (970) 484-4104
Other names Pediatric Dentistry Of The Rockies; Pediatric Dentistry Of The Rockies
NPI enumeratedFebruary 14, 2008
Last updated in NPPESOctober 23, 2018
Mailing address4609 S Timberline Rd, Suite 103b, Fort Collins, CO 80528-3170

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