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Frederick Anthony Fenderson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry in Prescott, AZ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619081064

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Registry record

Entity type Individual (Type 1)
Name Frederick Anthony Fenderson
Credential DDS
Sex Male
Practice address 3150 Clearwater Dr, Prescott, AZ, 86305
Fax (928) 778-1731
Enumeration date Aug 19, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 42820 (CA) Secondary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License D-4566 (AZ) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
589393 Other AZ ACCESS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Frederick Fenderson's NPI record?
Cross-check NPI 1619081064 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1619081064 active?
Yes, as of the latest NPPES snapshot, NPI 1619081064 is active (record last updated 2007-07-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.