Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK ANTHONY FENDERSON, DDS
ActiveFREDERICK ANTHONY FENDERSON, DDS is a Orthodontics healthcare provider located in PRESCOTT, Arizona. NPI 1619081064 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PRESCOTT, AZ
Registration Details
- NPI Number
- 1619081064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (19.948844203463 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
42820 (CA)D-4566 (AZ)
Practice Information
- Address
-
3150 CLEARWATER DRPRESCOTT, AZ, 863057131Browse AZ providers · Browse ZIP 86305
- Phone
- 9284457051
- Fax
- 9287781731
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SIGRID E SCHWARTZ | D.D.S., M.S.D. | 1962413351 |
| ALLEN SARA | DDS, MS | 1457168288 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.