Fenderson, Stacie Dawn

Fenderson, Stacie Dawn is an individual health care provider with primary practice located at 8689 Folsom Blvd , Sacramento CA 95826. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Fenderson, Stacie Dawn can be contacted via phone (916) 381-7171.

Contact Information

Primary practice address
8689 Folsom Blvd Sacramento CA 95826
Phone: (916) 381-7171
Fax: (916) 381-1171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 52724 California

Profile Details

NPI number 1053500959
LBN Legal business name Fenderson, Stacie Dawn
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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