Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Fong, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174118848

Dr. Ryan Fong, DMD is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2021.

Licensed in
NV
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1700 W Charleston Blvd M/s 7424
Las Vegas, NV 89102-2335
Phone: (702) 774-5175
Fax: (702) 774-2812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7477 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174118848
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 4, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

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