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DEREK THOMPSON DMD PATRICK FERGUSON DDS PLLC NPI 1265683189


NPI Information

NPI: 1265683189
Provider Name: DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC

Doing Business As: APPLE VALLEY DENTAL & ORTHODONTICS

Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
4309 W NOB HILL BLVD
YAKIMA, WA
ZIP 98908
Phone: (509) 457-6300
Get Directions

DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC is an orthodontics and dentofacial orthopedics dentist in Yakima, WA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC NPI is 1265683189. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Apple Valley Dental & Orthodontics.

The provider's business location address is:

4309 W NOB HILL BLVD
YAKIMA, WA
ZIP 98908-971
Phone: (509) 457-6300
Fax: (509) 248-7438

The provider's authorized official is Derek C Thompson .
The authorized official title is Partenr and has the following contact phone number (509) 457-6300.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 10/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist9229WASHINGTONNo
2122300000XDentist10686WASHINGTONNo
3122300000XDentist8036WASHINGTONNo
4122300000XDentist3855WASHINGTONNo
5122300000XDentistNo
61223X0400XDentistOrthodontics and Dentofacial Orthopedics11197WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11548480072MEDICAIDWASHINGTON
21982822904MEDICAIDWASHINGTON
31407045875MEDICAIDWASHINGTON
41427185826MEDICAIDWASHINGTON
51376763813MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.