Derek Thompson DMD Patrick Ferguson DDS
Organization Active NPI Dentist · Union Gap, WA
NPI 1376764233 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1376764233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- DE00009229 (WA)
- Legal business name
- DEREK THOMPSON DMD PATRICK FERGUSON DDS
- Practice address
- 2100 S 14TH St
Union Gap, WA 98903-1252 - Phone
- (509) 457-6300
- NPI assigned
- May 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Cathy L Meadows
- Title
- Finance Manager
- Phone
- (509) 457-6300
Corporate family (same tax ID) 5
Practitioners 5
-
Patrick Ferguson, DDS
-
John Rome, DMD
-
Donald Thomas Schrack, D.D.S.
-
Ronald Spencer Senn, DDS
-
Derek C Thompson, DMD
National Provider Directory
- Tax ID family
- Derek Thompson DMD Patrick Ferguson DDS PLLC
Locations
2100 S 14th St
Union Gap, WA 98903
Phone (509) 457-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DE00009229 | WA | Yes |
Addresses
Primary practice location
2100 S 14TH St
Union Gap, WA 98903-1252
Mailing address
2100 S 14TH St
Union Gap, WA 98903-1252
Phone (509) 457-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5038799 | Medicaid | WA | |
| 5043641 | Medicaid | WA |
Other names
- Apple Valley Dental and Orthodontics
Other providers in Union Gap, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.