IndividualActive
Adam Van Leeuwen, D.D.S.
NPI 1003016536 · General Practice Dentistry · Salt Lake City, UT
Provider details
- NPI number
- 1003016536
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6610915 (UT)
Specialties & taxonomies
Dental Providers
Practice location
6936 South 2475 East
201
Salt Lake City, UT 84121-5999
Phone: (801) 943-1612
Fax: (801) 942-6008
Approximate (ZIP-level) locationGet directions
Mailing address
6936 South 2475 East
Salt Lake City, UT 84121-9999
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2007-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.