Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

PT Defiance Dental Clinic and Lab

Organization Dentist · NPI 1467874917

PT Defiance Dental Clinic and Lab provides Dentist services 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 Not confirmed with CMS for 12 years — call before visiting
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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