Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Anthony Fenderson, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1619081064

Frederick Anthony Fenderson, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Prescott, Arizona. Licensed in Arizona and California. Registered with an NPI since 2006.

Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3150 Clearwater Dr
Prescott, AZ 86305-7131
Phone: (928) 445-7051
Fax: (928) 778-1731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D-4566 (AZ)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 42820 (CA)

Record details

NPI number1619081064
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3150 Clearwater Dr, Prescott, AZ 86305-7131

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