Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

PT Defiance Dental Clinic and Lab

Organization Dentist · NPI 1467874917

PT Defiance Dental Clinic and Lab is a Dentist in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

5904 N 45th St
Tacoma, WA 98407-1902
Phone: (253) 238-1783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DN60141899 (WA)
Dentist Taxonomy 122300000X · Licence WA8905 (WA)

Record details

NPI number1467874917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sofya Kochubey — Owner · (253) 238-1783
NPI enumeratedJanuary 16, 2014
Last updated in NPPESJanuary 16, 2014
Mailing address5904 N 45th St, Tacoma, WA 98407-1902

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