Stacie Dawn Fenderson in Meadow Vista - Orthodontics And Dentofacial Orthopedics
Stacie Dawn Fenderson - NPI 1053500959
Stacie Dawn Fenderson is a Orthodontics And Dentofacial Orthopedics in Meadow Vista, California. Stacie Dawn Fenderson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Stacie Dawn Fenderson is 1053500959. The last update date is 2007-10-17.
Stacie Dawn Fenderson's current location address is 350 Meadow Gate Rd, Meadow Vista, California. You can contact this provider via phone number 9163817171 and fax number 5308781470. The mailing address for Stacie Dawn Fenderson is 350 Meadow Gate Rd, Meadow Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie Dawn Fenderson |
|---|---|
| Address | 350 Meadow Gate Rd, Meadow Vista, California |
| Phone Number | 9163817171 |
| Fax Number | 5308781470 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1053500959 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 350 Meadow Gate Rd |
|---|---|
| City | Meadow Vista |
| State | California (CA) |
| Post Code | 95722 |
| Phone Number | 9163817171 |
| Fax Number | 5308781470 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 52724 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacie Dawn Fenderson by the Centers for Medicare & Medicaid Services?
The Stacie Dawn Fenderson has been assigned the NPI (National Provider Identifier) 1053500959 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stacie Dawn Fenderson's physical address?
The Stacie Dawn Fenderson is physically located at 350 Meadow Gate Rd, in the city of Meadow Vista, CA, with the postal code 95722.
What is Stacie Dawn Fenderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacie Dawn Fenderson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did the Stacie Dawn Fenderson receive the assignment of its 1053500959 from the Centers for Medicare & Medicaid Services?
The Stacie Dawn Fenderson was issued its 1053500959 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the details pertaining to Stacie Dawn Fenderson last refreshed?
The information related to the Stacie Dawn Fenderson, including its address, specialty, and other relevant details, was last updated on 2007-10-17.