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NPI 1255303723

IndividualActive

Marc Van Tassell, D.D.S.

NPI 1255303723 · Dentist · Ely, NV

Provider details

NPI number: 1255303723
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
License: 4743125-9922 (UT)

Practice location

1304 E Aultman St

Ely, NV 89301-2513

Phone: (775) 289-6166

More NV providers

Mailing address

1304 E Aultman St

Ely, NV 89301-2513

Registry dates

Enumerated: 2006-02-07
Last updated: 2016-04-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Marc Van Tassell, D.D.S. — NPI 1255303723, Ely, NV | NPI Central