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DR. IAN SHANE FONG D.D.S. NPI 1568449197


NPI Information

NPI: 1568449197
Provider Name: DR. IAN SHANE FONG, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1900 N UNIVERSITY DR
STE 201
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 432-8992
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DR. Ian Shane Fong, D.D.S. is a general practice dentist in Pembroke Pines, FL. The provider is 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. DR. Ian Shane Fong, D.D.S. NPI is 1568449197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 N UNIVERSITY DR
STE 201
PEMBROKE PINES, FL
ZIP 33024-618
Phone: (954) 432-8992
Fax: (954) 432-8843

The enumeration date for this NPI number is 12/23/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN15150FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.