Organization
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Active
Other names
Apple Valley Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK C THOMPSON DMD (PARTENR)
(509) 457-6300
Entity
Organization
Contact information
Practice address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 457-6300
(509) 248-7438
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 457-6300
(509) 248-7438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10686
WA
122300000X
Dentist
3855
WA
122300000X
Dentist
8036
WA
122300000X
Dentist
9229
WA
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376763813
—
WA
05
—
1407045875
—
WA
05
—
1427185826
—
WA
05
—
1548480072
—
WA
05
—
1982822904
—
WA
Enumeration date
10/09/2008
Last updated
10/09/2008
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