Frederick Anthony Fenderson in Prescott - Orthodontics And Dentofacial Orthopedics
Frederick Anthony Fenderson - NPI 1619081064
Frederick Anthony Fenderson is a Orthodontics And Dentofacial Orthopedics in Prescott, Arizona. Frederick Anthony Fenderson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Frederick Anthony Fenderson is 1619081064. The last update date is 2007-07-08.
Frederick Anthony Fenderson's current location address is 3150 Clearwater Dr, Prescott, Arizona. You can contact this provider via phone number 9284457051 and fax number 9287781731. The mailing address for Frederick Anthony Fenderson is 3150 Clearwater Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick Anthony Fenderson |
|---|---|
| Address | 3150 Clearwater Dr, Prescott, Arizona |
| Phone Number | 9284457051 |
| Fax Number | 9287781731 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619081064 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3150 Clearwater Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863057131 |
| Phone Number | 9284457051 |
| Fax Number | 9287781731 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 42820 |
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Definition: 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 rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 589393 | AZ | ACCESS |
Post Comment/ Review Below
What is the Frederick Anthony Fenderson's unique identification number?
The Frederick Anthony Fenderson has been assigned the NPI (National Provider Identifier) Number 1619081064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Frederick Anthony Fenderson's physical address?
The Frederick Anthony Fenderson is physically located at 3150 Clearwater Dr, in the city of Prescott, AZ, with the postal code 863057131.
What is the Frederick Anthony Fenderson's area of specialization and corresponding taxonomy classification?
The Frederick Anthony Fenderson's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
When was the Frederick Anthony Fenderson's 1619081064 issued?
The Frederick Anthony Fenderson's 1619081064 was issued on 2006-08-19.
As of what date was the information pertaining to Frederick Anthony Fenderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Frederick Anthony Fenderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.