DR. STACIE DAWN FENDERSON DDS MS
NPI 1053500959
Dentist - Orthodontics and Dentofacial Orthopedics in Sacramento, CA

Active since October 17, 2007
8689 FOLSOM BLVD, SACRAMENTO, CA 95826(916) 381-7171(916) 381-1171 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stacie Dawn Fenderson Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACIE DAWN FENDERSON DDS MS (NPI 1053500959) is an individual orthodontics and dentofacial orthopedics provider in Sacramento, California, licensed in California (52724) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1053500959
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. STACIE DAWN FENDERSONCredential: DDS MS
Location Address8689 FOLSOM BLVDSacramento, CA 95826
Mailing Address350 Meadow Gate RdMeadow Vista, CA 95722 · (916) 381-7171 · Fax (530) 878-1470
Fax(916) 381-1171
Sole ProprietorNo
Enumeration DateOctober 17, 2007
NPI 1053500959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 52724
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.

8689 FOLSOM BLVD, Sacramento, CA 95826

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
8689 FOLSOM BLVD
SACRAMENTO, CA 95826
Dentist (Orthodontics and Dentofacial Orthopedics)
8689 FOLSOM BLVD
SACRAMENTO, CA 95826
Dentist (Pediatric Dentistry)
8689 FOLSOM BLVD
SACRAMENTO, CA 95826

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053500959, enumerated as an "individual" on October 17, 2007.

The provider is located at 8689 FOLSOM BLVD SACRAMENTO, CA 95826 and the phone number is (916) 381-7171.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.