Provider record
Ian Shane Fong D.D.S.
Ian Shane Fong D.D.S. is a CMS NPPES public record in Pembroke Pines, FL with a General Practice Dentistry taxonomy. The listing includes the reported practice address and reported phone. An approved map location is available for the reported practice address. Confirm details with the provider.
National Plan and Provider Enumeration System
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Reported to NPPES
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Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1568449197
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 1900 N University Dr, Ste 201
Pembroke Pines, FL 33024-3618 - Phone
- (954) 432-8992
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- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
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Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223G0001X
- Specialty
- General Practice Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026