Individual provider · Type 1 NPI
Tomomi J. Ida, DDS
Pediatric Dentistry · Everett, WA
NPI number
1508493388
Active
Practice location
111 SE Everett Mall Way
Everett, WA 98208-3208
Mailing address
9617 7th Ave SE
Lynnwood, WA 98036-4604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DE61165856 (WA) |
| Dentist | 122300000X | DE61165856 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
8 other providers at this address
- Albright Family DentalDental Clinic/Center Everett, WA NPI 1336696962
- Pharmacy Corporation of AmericaLong Term Care Pharmacy Everett, WA NPI 1093799843
- Angela Marie Cook, PharmDPharmacist Everett, WA NPI 1730466095
- Harlyn Kaur Susarla, DMD, MPHDentist Everett, WA NPI 1801216270
- Isra T. Elrayah, DDSDentist Everett, WA NPI 1649408964
- Izabela WojnarowiczPharmacist Everett, WA NPI 1548615776
- Pamela C. PenningtonPharmacist Everett, WA NPI 1659669521
- Yu Sun Chang, PHARMACISTPharmacist Everett, WA NPI 1306380001
Other pediatric dentistry providers in Everett
About NPI 1508493388
Tomomi J. Ida, DDS's National Provider Identifier is 1508493388, issued on Mar 24, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Everett, WA. The record was last updated on Oct 27, 2026.