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CLUTE YOUTH DENTISTRY INC. NPI 1679988588


NPI Information

NPI: 1679988588
Provider Name: CLUTE YOUTH DENTISTRY, INC.

Doing Business As: SMILEWORKS YOUTH DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7524 S ANTHONY BLVD
FORT WAYNE, IN
ZIP 46816
Phone: (260) 441-8500
Get Directions

CLUTE YOUTH DENTISTRY, INC. 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. CLUTE YOUTH DENTISTRY, INC. NPI is 1679988588. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smileworks Youth Dentistry.

The provider's business location address is:

7524 S ANTHONY BLVD
FORT WAYNE, IN
ZIP 46816-523
Phone: (260) 441-8500
Fax: (260) 441-0887

The provider's authorized official is Steven Richard Clute .
The authorized official title is President and has the following contact phone number (260) 625-4870.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 7/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12010603AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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