Provider Demographics
NPI:1073827788
Name:COCHRAN, JOSHUA RIVER (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:RIVER
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13514 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-6002
Mailing Address - Country:US
Mailing Address - Phone:509-228-3834
Mailing Address - Fax:509-623-1548
Practice Address - Street 1:13514 E 32ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-6002
Practice Address - Country:US
Practice Address - Phone:509-228-3834
Practice Address - Fax:509-623-1548
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60159261122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist