Healthcare Provider Details

I. General information

NPI: 1669718755
Provider Name (Legal Business Name): SONJA MCCOY VALREY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S CEDAR ST STE 106
TACOMA WA
98405-2302
US

IV. Provider business mailing address

1901 S CEDAR ST STE 106
TACOMA WA
98405-2302
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-2605
  • Fax: 253-627-1674
Mailing address:
  • Phone: 253-272-2605
  • Fax: 253-627-1674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8568
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: