Wayne Youth Dentistry, Llc is a Dental Clinic in Fort Wayne, Indiana. It is located at 7524 S Anthony Blvd, Fort Wayne, IN and its contact number is 260-441-8500. The authorized person for Wayne Youth Dentistry, Llc is Mrs. Jenell Stump
who is Manager, Licensing & Credentialing of the clinic and their contact number is 615-750-0343. Other organizations associated with this clinic are Wayne Youth Dentistry, Llc, Clute Youth Dentistry, Inc., Wayne Youth Dentistry, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Wayne Youth Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Wayne Youth Dentistry, Llc
Specialization:
General Practice Dentistry
Clinic Address:
7524 S Anthony Blvd, Fort Wayne, Indiana, 46816-2517
Phone:
260-441-8500
Fax:
260-441-0887
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Jenell Stump
Position:
Manager, Licensing & Credentialing
Contact Number:
615-750-0343
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Wayne Youth Dentistry, Llc clinic are as mentioned below.
NPI Number:
1356399182
NPI Enumeration Date:
04 May, 2006
NPI Last Update On:
09 Jul, 2014
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Wayne Youth Dentistry, Llc
General Practice Dentistry
1356399182
Clute Youth Dentistry, Inc.
General Practice Dentistry
1679988588
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wayne Youth Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2619223
Medicaid
Ohio
200542880A
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Wayne Youth Dentistry, Llc 16 Arcade Unit 198747, Nashville, Tennessee
Zip:
37219-1994
Phone Number:
615-750-0343
Fax Number:
615-986-1705
Patients can reach Wayne Youth Dentistry, Llc at 7524 S Anthony Blvd, Fort Wayne, Indiana or can call to book an appointment on 260-441-8500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.