VAN LEEUWEN DENTAL, LLC (NPI# 1831346527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831346527 |
| Entity Type | Organization |
| Organization Name | VAN LEEUWEN DENTAL, LLC |
| Practice Address |
6936 Promenade Dr #201 Salt Lake City UT 84121-3391 |
| Mailing Address |
6936 South Promenade Dr. #201 Salt Lake City UT 84121 |
| Practice Telephone | 8019431612 |
| Practice Fax Number | 8019426008 |
| Mailing Telephone | 8019431612 |
| Mailing Fax Number | 8019426008 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | DR. MICHAEL LEE VAN LEEUWEN (DENTIST/OWNER) |
| Authorized Official Telephone | 8019431612 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
138074 | UT | Ambulatory Health Care Facilities |
| Street Address |
6936 PROMENADE DR #201 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947372 | Preston G. Hansen, Dds, Pllc | Clinic/Center | 7138 S Highland Dr Ste 211, Salt Lake City, UT 84121-3787 | 2020-06-23 |
| 1013367036 | City Creek Dental, Pllc | Clinic/Center | 175 S West Temple Ste 100, Salt Lake City, UT 84101-1443 | 2016-06-21 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1871972687 | Richard A. Parkin, Dds, PC | Clinic/Center | 4046 S Highland Dr Ste 113, Salt Lake City, UT 84124-1689 | 2015-05-26 |
| 1730581919 | Triple Crown Dental Pllc | Clinic/Center | 2725 E Parleys Way, Suite 150, Salt Lake City, UT 84109-1667 | 2014-09-19 |
| 1053732958 | Cottonwood Pediatric Dentistry | Clinic/Center | 7050 S Highland Dr, Suite #110, Salt Lake City, UT 84121-3749 | 2013-12-18 |
| 1851538862 | Salt Lake Donated Dental Services | Clinic/Center | 1383 S 900 W, Suite 128, Salt Lake City, UT 84104-1603 | 2009-01-13 |
| 1184245474 | Nic - Salt Lake City, Pllc | Clinic/Center | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-28 |
| 1285194738 | Bender Dental LLC | Clinic/Center | 1345 E Fort Union Blvd, Salt Lake City, UT 84121-2859 | 2019-03-21 |
| 1013416742 | Nexus Dental Group Pllc | Clinic/Center | 2725 E Parleys Way, Salt Lake City, UT 84109-1667 | 2018-02-08 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on VAN LEEUWEN DENTAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.