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

Dr. Keith Allen Van Tassell, DDS

Individual provider Pediatric Dentistry · NPI 1366585408

Dr. Keith Allen Van Tassell, DDS is a Pediatric Dentistry in Fort Collins, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2001 S Shields St Bldg A Ste 2
Fort Collins, CO 80526-1827
Phone: (970) 484-4104
Fax: (970) 484-5245
Show map & directions

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 number1366585408
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007

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