Healthcare Provider Details

I. General information

NPI: 1891924692
Provider Name (Legal Business Name): SAMUEL ADAM MEEKS D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2792 S 5600 W
WEST VALLEY CITY UT
84120-5590
US

IV. Provider business mailing address

2792 S 5600 W
WEST VALLEY CITY UT
84120-5590
US

V. Phone/Fax

Practice location:
  • Phone: 385-342-1070
  • Fax: 801-727-8901
Mailing address:
  • Phone: 385-342-1070
  • Fax: 801-727-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number47945709922
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: