Healthcare Provider Details

I. General information

NPI: 1053924779
Provider Name (Legal Business Name): COCHRAN, BALL, LANSING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13514 E 32ND AVE
SPOKANE VALLEY WA
99216-6002
US

IV. Provider business mailing address

13514 E 32ND AVE
SPOKANE VALLEY WA
99216-6002
US

V. Phone/Fax

Practice location:
  • Phone: 509-228-3834
  • Fax: 509-388-0195
Mailing address:
  • Phone: 509-228-3834
  • Fax: 509-388-0195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA R COCHRAN
Title or Position: OWNER
Credential: DMD
Phone: 509-228-3834