| Michael Van Leeuwen Dmd Pc | |
|
6936 South 2475 East Suite 201 Salt Lake City UT 84121 | |
| (801) 943-1612 | |
| (801) 942-6008 |
| Full Name | Michael Van Leeuwen Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6936 South 2475 East, Salt Lake City, Utah |
| Authorized Official Name and Position | Michael Lee Van Leeuwen (PRESIDENT DENTIST) |
| Authorized Official Contact | 8019431612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Van Leeuwen Dmd Pc 6936 South 2475 East Suite 201 Salt Lake City UT 84121 Ph: (801) 943-1612 | Michael Van Leeuwen Dmd Pc 6936 South 2475 East Suite 201 Salt Lake City UT 84121 Ph: (801) 943-1612 |
| NPI Number | 1639242084 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639242084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1380749922 (Utah) | Primary |
City Creek Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S West Temple Ste 100, Salt Lake City, UT 84101 Phone: 801-364-7943 Fax: 801-364-3373 | |
Judd E Partridge Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7138 S Highland Dr, Suite 211, Salt Lake City, UT 84121 Phone: 801-943-8703 Fax: 801-943-5150 | |
Greater Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 Phone: 801-268-3636 Fax: 801-942-7652 | |
Cottonwood Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 S Highland Dr, Suite #110, Salt Lake City, UT 84121 Phone: 801-943-3233 | |