OrganizationActive
Wayne Youth Dentistry, LLC
NPI 1356399182 · General Practice Dentistry · Fort Wayne, IN
Wayne Youth Dentistry, LLC is a General Practice Dentistry organization in Fort Wayne, IN (NPI 1356399182).
Provider details
- NPI number
- 1356399182
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenell Stump, Manager, Licensing & Credentialing(615) 750-0343
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7524 S Anthony Blvd
Fort Wayne, IN 46816-2517
Phone: (260) 441-8500
Fax: (260) 441-0887
Street-level locationGet directions
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2014-07-09
Frequently asked questions
- What is Wayne Youth Dentistry, LLC's NPI number?
- Wayne Youth Dentistry, LLC's National Provider Identifier (NPI) is 1356399182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne Youth Dentistry, LLC?
- Wayne Youth Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Wayne Youth Dentistry, LLC located?
- Wayne Youth Dentistry, LLC's practice location on file with NPPES is 7524 S Anthony Blvd, Fort Wayne, IN 46816-2517.
- What is Wayne Youth Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wayne Youth Dentistry, LLC is (260) 441-8500.
- Who is the authorized official for Wayne Youth Dentistry, LLC?
- The authorized official listed on Wayne Youth Dentistry, LLC's NPPES record is Jenell Stump, Manager, Licensing & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne Youth Dentistry, LLC's NPI active?
- Yes — Wayne Youth Dentistry, LLC's NPI (1356399182) is active in the NPPES registry as of the last update on 2014-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.