# CLUTE YOUTH DENTISTRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SmileWorks Youth Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679988588
- **Authorized official:** DR. STEVEN RICHARD CLUTE DDS (PRESIDENT)
- **Authorized official phone:** (260) 625-4870

## Contact information

- **Practice address:** 7524 S ANTHONY BLVD, FORT WAYNE, IN 46816-2523
- **Practice address phone:** (260) 441-8500
- **Practice address fax:** (260) 441-0887
- **Mailing address:** 7524 S ANTHONY BLVD, FORT WAYNE, IN 46816-2523
- **Mailing address phone:** (260) 441-8500
- **Mailing address fax:** (260) 441-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010603A | IN | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 07/18/2014