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Gary Smiles Youth Dentistry, LLC

General Practice Dentistry in Gary, IN · enumerated 2006 · authorized official Jenell Stump, Manager, Licensing & Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073684247

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Registry record

Entity type Organization (Type 2)
Legal business name Gary Smiles Youth Dentistry, LLC
Practice address 3506 Village Ct, Gary, IN, 46408
Phone (219) 985-3133
Fax (219) 985-3139
Enumeration date Nov 10, 2006
Last updated in NPPES Jul 9, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jenell Stump
Title Manager, Licensing & Credentialing
Phone (615) 750-0343

Other identifiers

Identifier Type State Issuer
1073684247 Medicaid IL -
200379630A Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Gary Smiles Youth Dentistry, LLC?
Gary Smiles Youth Dentistry, LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-09.