Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tomomi J Ida, DDS

Individual provider Pediatric Dentistry · NPI 1508493388

Tomomi J Ida, DDS is a Pediatric Dentistry in Everett, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

111 SE Everett Mall Way
Everett, WA 98208-3208
Phone: (425) 341-7827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DE61165856 (WA)
Dentist Taxonomy 122300000X · Licence DE61165856 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508493388
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address4111 194th St Sw, Lynnwood, WA 98036-4604

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