Van Leeuwen Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

138074 Issued in UT

Legal business name

VAN LEEUWEN DENTAL, LLC

Practice address

6936 Promenade Dr
#201
Salt Lake City, UT 84121-3391

Phone

(801) 943-1612

Fax

(801) 942-6008

NPI assigned

Aug 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Lee Van Leeuwen, D.M.D.NPI 1396105425

Title

Dentist/Owner

Phone

(801) 943-1612

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lee Vanleeuwen, D.M.D.

  • Dentist
  • Salt Lake City, UT
  • NPI 1396105425
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1831346527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 SOUTH PROMENADE DR.",
            "address_2": "#201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-943-1612",
            "fax_number": "801-942-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 PROMENADE DR",
            "address_2": "#201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213391",
            "telephone_number": "801-943-1612",
            "fax_number": "801-942-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN LEEUWEN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "VAN LEEUWEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "801-943-1612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "138074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kate Van Hook, LCSW
• Reed Patrick Van Hook, MD
• Kelsie Van Horn, DPT
• Kristy K. Van Katwyk, RN MSN FNP
• George Johan Van Komen, MD
• Adam Richard Van Leeuwen, D.D.S.
• Nicole Van Leeuwen
• Marticia Van Leuven
• Steven Burke Van Norman, MD
• Trishia Van Orden

• Dental Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.