Provider Demographics
NPI:1740407105
Name:TOBIAS, DAVID SCOTT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:TOBIAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W STE 380
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4754
Mailing Address - Country:US
Mailing Address - Phone:425-774-1111
Mailing Address - Fax:425-775-5624
Practice Address - Street 1:19020 33RD AVE W STE 380
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4754
Practice Address - Country:US
Practice Address - Phone:425-774-1111
Practice Address - Fax:425-775-5624
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011292122300000X
WADE00010820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist