FREDERICK ANTHONY FENDERSON DDS
NPI 1619081064
Dentist - Orthodontics and Dentofacial Orthopedics in Prescott, AZ

Active since August 19, 2006
3150 CLEARWATER DR, PRESCOTT, AZ 86305(928) 445-7051(928) 778-1731 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Anthony Fenderson Dds NPPES

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

FREDERICK ANTHONY FENDERSON DDS (NPI 1619081064) is an individual orthodontics and dentofacial orthopedics provider in Prescott, Arizona, licensed in Arizona (D-4566) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1619081064
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameFREDERICK ANTHONY FENDERSONCredential: DDS
Location Address3150 CLEARWATER DRPrescott, AZ 86305-7131
Mailing Address3150 Clearwater DrPrescott, AZ 86305-7131 · (928) 445-7051 · Fax (928) 778-1731
Fax(928) 778-1731
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619081064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in AZ · D-4566 Licensed in CA · 42820
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.
3150 CLEARWATER DR, Prescott, AZ 86305

Other Identifiers 1

Other589393AZ · Access

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3150 CLEARWATER DR
PRESCOTT, AZ 86305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Fenderson's NPI number?

The NPI number for Frederick Fenderson is 1619081064. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Frederick Fenderson located?

Frederick Fenderson practices at 3150 Clearwater Dr, Prescott, AZ 86305. The listed phone number is (928) 445-7051.

What is Frederick Fenderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Frederick Fenderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona list Frederick Fenderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frederick Fenderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.