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Frederick Anthony Fenderson, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Prescott, Arizona
NPI 1619081064

Frederick Anthony Fenderson is a Orthodontics and Dentofacial Orthopedic Dentist based in Prescott, AZ and is specialized in Orthodontics and Dentofacial Orthopedics. Frederick Anthony Fenderson practices in Prescott, AZ and has the professional credentials of DDS. The NPI Number for Frederick Anthony Fenderson is 1619081064 and holds a License No. 42820 (Arizona).

The current practice location address for Frederick Anthony Fenderson is 3150 Clearwater Dr, Prescott, AZ and can be reached out via phone at 928-445-7051 and via fax at 928-778-1731.

Location: 3150 Clearwater Dr, Prescott, AZ, 86305-7131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619081064
Provider Name
Frederick Anthony Fenderson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3150 Clearwater Dr, Prescott, AZ, 86305-7131
Phone Number
928-445-7051
Fax Number
928-778-1731
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
589393 01 AZ ACCESS
institution
Provider Business Practice Location Address Details
Address
3150 Clearwater Dr
City
Prescott
State
Arizona
Zip
86305-7131
Phone Number
928-445-7051
Fax Number
928-778-1731
person
Provider Business Mailing Address Details
Address
3150 Clearwater Dr
City
Prescott
State
Arizona
Zip
86305-7131
Phone Number
928-445-7051
Fax Number
928-778-1731
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
42820 (California)
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 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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