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DR. RYAN FONG DMD
NPI 1174118848
Dentist - General Practice in Las Vegas, NV

Active since March 04, 2021
1700 W. CHARLESTON BLVD, M/S 7424, LAS VEGAS, NV 89102(702) 774-5175(702) 774-2812 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 8, 2021, Mar 4, 2021 (2 updates tracked since 2021).

About Dr. Ryan Fong Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN FONG DMD (NPI 1174118848) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (7477) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174118848
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN FONGCredential: DMD
Location Address1700 W. CHARLESTON BLVD, M/S 7424Las Vegas, NV 89102-2335
Mailing Address1700 W. Charleston Blvd, M/s 7424Las Vegas, NV 89102-2335 · (702) 774-5175 · Fax (702) 774-2812
Phone(702) 774-5175
Fax(702) 774-2812
Sole ProprietorNo
Enumeration DateMarch 4, 2021
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1174118848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 7477
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1700 W. CHARLESTON BLVD, Las Vegas, NV 89102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Fong's NPI number?

The NPI number for Ryan Fong is 1174118848. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Ryan Fong located?

Ryan Fong practices at 1700 W. Charleston Blvd M/S 7424, Las Vegas, NV 89102. The listed phone number is (702) 774-5175.

What is Ryan Fong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ryan Fong accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Ryan Fong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Fong was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.