Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Dentistry of the Rockies PLLC

Organization Pediatric Dentistry · NPI 1144498999

Pediatric Dentistry of the Rockies PLLC provides 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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