Organization
SOVEREIGN DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERICK J SOVEREIGN DMD (GENERAL DENTIST)
(480) 341-0791
Entity
Organization
Contact information
Practice address
15701 E SPRAGUE AVE STE F, SPOKANE VALLEY, WA 99037-5019
(480) 341-0791
Mailing address
5401 E WINDRIDGE AVE, WASILLA, AK 99654-6784
(480) 341-0791
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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