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

Dr. Shane A Fisher, DDS

Individual provider Dentist · NPI 1285624171

Dr. Shane A Fisher, DDS is a Dentist in Wilton Manors, Florida. Licensed in Florida, Illinois and Wisconsin. Registered with an NPI since 2005.

Licensed in
FL, IL, WI
In the registry since
2005
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

819 NE 26th St
Wilton Manors, FL 33305-1239
Phone: (954) 564-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN29834 (FL)
Dentist Taxonomy 122300000X · Licence 019-025019 (IL)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 025-001997 (IL)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 5127015 (WI)

Record details

NPI number1285624171
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

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