Individual provider · Type 1 NPI

Shannonj Lee Fenton, RDA

Orthodontics and Dentofacial Orthopedics Dentistry · Phoenix, AZ

NPI number 1902014863 Active

Practice location

3155 W Indian School Rd
Phoenix, AZ 85017-4035

Call (602) 212-9533 Map

Mailing address

3530 E Moreland St Apt 3
Phoenix, AZ 85008-5247

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X31911 (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 1902014863

Shannonj Lee Fenton, RDA's National Provider Identifier is 1902014863, issued on May 21, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2007.