# DEREK THOMPSON DMD PATRICK FERGUSON DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apple Valley Dental and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376764233
- **Authorized official:** CATHY L MEADOWS (FINANCE MANAGER)
- **Authorized official phone:** (509) 457-6300

## Contact information

- **Practice address:** 2100 S 14TH ST, UNION GAP, WA 98903-1252
- **Practice address phone:** (509) 457-6300
- **Mailing address:** 2100 S 14TH ST, UNION GAP, WA 98903-1252
- **Mailing address phone:** (509) 457-6300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00009229 | WA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 03/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5038799 | — | WA |
| 05 | — | 5043641 | — | WA |