| Derek Thompson Dmd Patrick Ferguson Dds | |
|
2100 S 14th St Union Gap WA 98903-1252 | |
| (509) 457-6300 | |
| Not Available |
| Full Name | Derek Thompson Dmd Patrick Ferguson Dds |
|---|---|
| Speciality | Dentist |
| Location | 2100 S 14th St, Union Gap, Washington |
| Authorized Official Name and Position | Cathy L Meadows (FINANCE MANAGER) |
| Authorized Official Contact | 5094576300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Thompson Dmd Patrick Ferguson Dds 2100 S 14th St Union Gap WA 98903-1252 Ph: (509) 457-6300 | Derek Thompson Dmd Patrick Ferguson Dds 2100 S 14th St Union Gap WA 98903-1252 Ph: (509) 457-6300 |
| NPI Number | 1376764233 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376764233 | NPI | - | NPPES |
| 5038799 | Medicaid | WA | |
| 5043641 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00009229 (Washington) | Primary |
Derek Thompson Dmd Patrick Ferguson Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 S 14th St, Union Gap, WA 98903 Phone: 509-457-6300 |