Pediatric Dentistry Of The Rockies is a Pediatric Dental Clinic in Fort Collins, Colorado. It is located at 4609 S Timberline Rd, Suite 103b, Fort Collins, CO and its contact number is 970-484-4104. The authorized person for Pediatric Dentistry Of The Rockies is Keith Allen Van Tassell
who is President/owner of the clinic and their contact number is 970-484-4104. The primary license number for Pediatric Dentistry Of The Rockies is 9197 (Pediatric Dentistry) in Colorado. Pediatric Dentistry Of The Rockies Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Of The Rockies Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dentistry Of The Rockies
Specialization:
Pediatric Dentistry
Clinic Address:
4609 S Timberline Rd, Suite 103b, Fort Collins, Colorado, 80528-3170
Phone:
970-484-4104
Fax:
970-484-5245
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Keith Allen Van Tassell
Position:
President/owner
Contact Number:
970-484-4104
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dentistry Of The Rockies clinic are as mentioned below.
NPI Number:
1144498999
NPI Enumeration Date:
14 Feb, 2008
NPI Last Update On:
23 Oct, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry Of The Rockies are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
9197
Colorado
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
82906505
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pediatric Dentistry Of The Rockies 4609 S Timberline Rd, Suite 103b Fort Collins, Colorado
Zip:
80528-3170
Phone Number:
970-484-4104
Fax Number:
970-484-5245
Patients can reach Pediatric Dentistry Of The Rockies at 4609 S Timberline Rd, Suite 103b, Fort Collins, Colorado or can call to book an appointment on 970-484-4104. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.