# DEREK THOMPSON DMD PATRICK FERGUSON DDS PLLC

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

## Provider details

- **NPI number:** 1689966616
- **Authorized official:** DR. DEREK THOMPSON DMD (OWNER)
- **Authorized official phone:** (509) 823-4480

## Contact information

- **Practice address:** 3217 PICARD PL, SUNNYSIDE, WA 98944-8400
- **Practice address phone:** (509) 823-4480
- **Practice address fax:** (509) 823-4488
- **Mailing address:** 4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
- **Mailing address phone:** (509) 823-4480
- **Mailing address fax:** (509) 823-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9229 | WA | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 11197 | WA | — |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 05/10/2011