Individual provider · Type 1 NPI
Frederick Anthony Fenderson, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Prescott, AZ
Practice location
3150 Clearwater Dr
Prescott, AZ 86305-7131
Fax (928) 778-1731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 42820 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D-4566 (AZ) |
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…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Prescott
About NPI 1619081064
Frederick Anthony Fenderson, DDS's National Provider Identifier is 1619081064, issued on Aug 19, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.