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

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDE61165856 (WA)
Dentist 122300000XDE61165856 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone 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

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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.