Ian David Furlong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38469 Issued in TX

Practice address

11719 Whisper Valley St
San Antonio, TX 78230-3739

Phone

(210) 492-2119

Fax

(210) 493-6042

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TX Southern Dental PC

  • Dentist
  • San Antonio, TX
  • NPI 1164292694
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1306571609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 WHISPER VALLEY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303739",
            "telephone_number": "210-492-2119",
            "fax_number": "210-493-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11719 WHISPER VALLEY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303739",
            "telephone_number": "210-492-2119",
            "fax_number": "210-493-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURLONG",
        "first_name": "IAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuqua Psychiatric Consulting, PLLC
• James Travis Fuqua, MD
• Carla Ilen Furbeck
• James L. Furgerson, MD
• James Rodney Furlin, MS, LMFT, LPC
• Jaime L Furlongue
• Mark Furlow
• Wieslaw Furmaga, MD
• Adam Myer Furman, D.D.S.
• Jaime Furman, MD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.