1. Home
  2. Directory
  3. Indiana
  4. Gary
  5. Dentist
  6. NPI Profile

GARY SMILES YOUTH DENTISTRY, LLC
NPI 1073684247
Dentist - General Practice in Gary, IN

Active since November 10, 2006
3506 VILLAGE CT, GARY, IN 46408(219) 985-3133(219) 985-3139 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary Smiles Youth Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY SMILES YOUTH DENTISTRY, LLC (NPI 1073684247) is a healthcare organization registered as a general practice in Gary, Indiana and active in the NPI registry since November 2006. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1073684247
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGARY SMILES YOUTH DENTISTRY, LLC
Location Address3506 VILLAGE CTGary, IN 46408-1428
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Phone(219) 985-3133
Fax(219) 985-3139
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343
Enumeration DateNovember 10, 2006
Last NPPES UpdateJuly 9, 2014
✔ NPI 1073684247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

3506 VILLAGE CT, Gary, IN 46408
Open in Google Maps ↗

Other Identifiers 2

Medicaid200379630AIN
Medicaid1073684247IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON WILLIAM COOPER DDS
Dentist (General Practice)
3506 VILLAGE CT
GARY, IN 46408
Lake County (219) 985-3133
MARSHALL J BELMER DDS
Dentist (General Practice)
3506 VILLAGE CT
GARY, IN 46408
Lake County (219) 985-3133
ESPERANCE URAYENEZA DDS
Dentist (General Practice)
3506 VILLAGE CT
GARY, IN 46408
Lake County (219) 985-3133
ANNICK ISHAMI DMD
Dentist (General Practice)
3506 VILLAGE CT
GARY, IN 46408
Lake County (219) 985-3133
GARY PEDIATRIC & FAMILY DENTISTRY
Dentist (Pediatric Dentistry)
3506 VILLAGE CT
GARY, IN 46408
Lake County (269) 267-8033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Smiles Youth Dentistry, LLC's NPI number?

The NPI number for Gary Smiles Youth Dentistry, LLC is 1073684247. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Gary Smiles Youth Dentistry, LLC located?

Gary Smiles Youth Dentistry, LLC is located at 3506 Village Ct, Gary, IN 46408. The listed phone number is (219) 985-3133.

What is Gary Smiles Youth Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gary Smiles Youth Dentistry, LLC was last updated on July 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.