Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne Youth Dentistry, LLC

Organization General Practice Dentistry · NPI 1356399182

Wayne Youth Dentistry, LLC is a General Practice Dentistry in Fort Wayne, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7524 S Anthony Blvd
Fort Wayne, IN 46816-2517
Phone: (260) 441-8500
Fax: (260) 441-0887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1356399182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Stump — Manager, Licensing & Credentialing · (615) 750-0343
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 9, 2014
Mailing address16 Arcade Unit 198747, Nashville, TN 37219-1994

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