PT. Defiance Dental Clinic and Lab
NPI 1467874917ActiveOrganization· Denturist· Tacoma, WA
Denturist in Tacoma, Washington, registered in NPPES in January 2014. The authorized official on file is Sofya V. Kochubey, Owner.
Overview
| NPI | 1467874917 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2014 |
| Last updated in NPPES | Jan 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Denturist Primary | 122400000X | DN60141899 | WA |
| Dentist | 122300000X | WA8905 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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