Organization
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Active
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
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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