Frederick Anthony Fenderson is an Orthodontist practicing in Prescott, Arizona. Active license number of Frederick Anthony Fenderson is
D-4566 for Orthodontics in Arizona. His current practice location is
3150 Clearwater Dr, Prescott. Patients can reach him at
928-445-7051 or can fax him at
928-778-1731. Frederick Anthony Fenderson is
DDS in Orthodontics and his NPI number (Unique professional ID assigned by NPPES) is 1619081064.
Frederick Anthony Fenderson major responsibilities 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.
Orthodontists are also called dentofacial orthopedics who deals with 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.
Complete Profile:
Frederick Anthony Fenderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthodontics |
| Credentials: | DDS |
| Gender: | Male |
| Practice Address: | 3150 Clearwater Dr, Prescott,
Arizona, 86305-7131 |
| Phone: | 928-445-7051 |
| Fax: | 928-778-1731 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1619081064 |
| NPI Enumeration Date: | 19 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Anthony Fenderson are as mentioned below.
| License Number | Specialization | State | Status | |
| D-4566 | Orthodontics | Arizona | Primary | |
| 42820 | Orthodontics | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Frederick Anthony Fenderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 589393 | Other | Arizona | ACCESS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3150 Clearwater Dr,
Prescott, Arizona |
| Zip: | 86305-7131 |
| Phone Number: | 928-445-7051 |
| Fax Number: | 928-778-1731 |
Patients can reach Frederick Anthony Fenderson at
3150 Clearwater Dr, Prescott, Arizona or can
call to book an appointment on 928-445-7051.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.