Dr. Stacie Dawn Fenderson
Orthodontists
8689 Folsom Blvd
Sacramento
, California 95826
Dr. Stacie Dawn Fenderson
Orthodontists
8689 Folsom Blvd
Sacramento
, California 95826
(530) 878-1470
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Stacie Dawn Fenderson
- 350 Meadow Gate Rd
- Meadow Vista, CA
- Zip : 95722
- Fax : (530) 878-1470
- Phone : (916) 381-7171
Second Address
- Dr. Stacie Dawn Fenderson
- 8689 Folsom Blvd
- Sacramento, CA
- Zip : 95826
- Fax : (916) 381-1171
- Phone : (916) 381-7171
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 52724 | CA |
National Provider Identifier
| NPI | 1053500959 |
|---|---|
| Provider Name | Dr. Stacie Dawn Fenderson |
| First Address | Meadow Vista, CA 95722 |
| Second Address | Sacramento, CA 95826 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2007 |
| Last Update Date | 17/10/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.