Doctor profile · Federal record
Dr. Frederick Fenderson, DDS
Orthodontics and Dentofacial Orthopedic Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Prescott, AZ
- NPI 1619081064
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3150 Clearwater Dr
Prescott, AZ 863057131
(928) 445-7051
fax (928) 778-1731
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Arizona #D-4566 · California #42820
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619081064. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$114
Transactions
6
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 4 | $91.35 | |
| American Orthodontics Corporation | 2 | $22.84 |
By nature of payment
Frequently asked questions
What is Dr. Frederick Fenderson's medical specialty?
Dr. Frederick Fenderson practices Orthodontics and Dentofacial Orthopedic Dentist in Prescott, AZ.
Where does Dr. Frederick Fenderson practice?
Dr. Frederick Fenderson practices at 3150 Clearwater Dr, Prescott, AZ 863057131. Office phone: 9284457051.
What is Dr. Frederick Fenderson's NPI?
Dr. Frederick Fenderson's National Provider Identifier (NPI) is 1619081064, issued by NPPES.