Individual provider · Type 1 NPI

Stacie Dawn Fenderson, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Sacramento, CA

NPI number 1053500959 Active

Practice location

8689 Folsom Blvd
Sacramento, CA 95826

Call (916) 381-7171 Map

Fax (916) 381-1171

Mailing address

350 Meadow Gate Rd
Meadow Vista, CA 95722

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X52724 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1053500959

Stacie Dawn Fenderson, DDS MS's National Provider Identifier is 1053500959, issued on Oct 17, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sacramento, CA. The record was last updated on Oct 17, 2007.