Doctor profile · Federal record
Dr. Shane Fisher, DDS
Pediatric Dentist · Dentist · Pediatric Dentist · Pediatric Dentist · Wilton Manors, FL
- NPI 1285624171
- 21 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
819 Ne 26Th St
Wilton Manors, FL 333051239
(954) 564-5540 - Mailing address
-
2132 Nw 5Th Ave
Wilton Manors, FL 333113702
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- April 24, 2025
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (4)
- Florida #DN29834 · Illinois #019-025019 · Illinois #025-001997 · Wisconsin #5127015
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285624171. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $17.66 |
By nature of payment
Frequently asked questions
What is Dr. Shane Fisher's medical specialty?
Dr. Shane Fisher practices Pediatric Dentist in Wilton Manors, FL.
Where does Dr. Shane Fisher practice?
Dr. Shane Fisher practices at 819 Ne 26Th St, Wilton Manors, FL 333051239. Office phone: 9545645540.
What is Dr. Shane Fisher's NPI?
Dr. Shane Fisher's National Provider Identifier (NPI) is 1285624171, issued by NPPES.