WAYNE YOUTH DENTISTRY, LLC is a general practice dentist in Fort Wayne, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WAYNE YOUTH DENTISTRY, LLC NPI is 1356399182. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7524 S ANTHONY BLVD
FORT WAYNE, IN
ZIP 46816-517
Phone: (260) 441-8500
Fax: (260) 441-0887
The provider's authorized official is Jenell Stump .
The authorized official title is Manager, Licensing & Credentialing and has the following contact phone number (615) 750-0343.
The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/9/2014.