MEDICARE: STEVEN RICHARD CLUTE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	1201063A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063461796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN RICHARD CLUTE DDS

Provider Business Mailing Address
First Line	:	201 W 8TH ST
Second Line	:	SUITE 810
City	:	PUEBLO
State	:	CO
Zip	:	81003-3038
Country	:	US
Telephone Number	:	719-562-4447
Fax Number	:

Provider Business Practice Location Address
First Line	:	7524 S ANTHONY BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46816-2517
Country	:	US
Telephone Number	:	260-441-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	12/27/2010

Similar Medicare Providers

1356399182 — WAYNE YOUTH DENTISTRY, LLC
Practice Location Address:

7524 S ANTHONY BLVD
FORT WAYNE, IN
46816-2517

Practice Phone: 260-441-8500
Practice Fax: 260-441-0887

1124117718 — JENNIFER LYNN TAYLOR DDS
Practice Location Address:

7524 S ANTHONY BLVD
FORT WAYNE, IN
46816-2517

Practice Phone: 260-441-8500
Practice Fax:

1033369244 — BRENT D. BURCH OD
Practice Location Address:

7625 SOUTHTOWN XING
FORT WAYNE, IN
46816-2517

Practice Phone: 260-447-9731
Practice Fax: 260-441-8276

1972848018 — LONGE ENTERPRISES CORP
Practice Location Address:

7625 SOUTHTOWN XING
FORT WAYNE, IN
46816-2517

Practice Phone: 260-447-3583
Practice Fax: 260-441-8276

1740226521 — RHONDA L. WALTON RD CD LD
Practice Location Address:

5927 JUSTIN DR
FORT WAYNE, IN
46835-2517

Practice Phone: 260-485-1410
Practice Fax: 574-267-2406

1255075354 — LINYING XIAO
Practice Location Address:

2517 ABBEY DR APT 4
FORT WAYNE, IN
46835-3124

Practice Phone: 720-550-2192
Practice Fax:

Directions to “ STEVEN RICHARD CLUTE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.