# JOSH COCHRAN 11919, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396496113
- **Authorized official:** JOSHUA COCHRAN DMD (OWNER)
- **Authorized official phone:** (509) 475-1362

## Contact information

- **Practice address:** 11919 W SUNSET HIGHWAY, AIRWAY HEIGHTS, WA 99001
- **Practice address phone:** (509) 903-8719
- **Mailing address:** 13514 E 32ND AVE, SPOKANE VALLEY, WA 99216-6002
- **Mailing address phone:** (206) 755-6436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 01/13/2022
- **Last updated:** 04/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DE60295294 | STATE OF WA | WA |
| 01 | — | DE60593835 | STATE OF WA | WA |
| 01 | — | DE60606819 | STATE OF WA | WA |