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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.