Call (253) 474-9509

7808 Pacific Avenue S, Ste #5
Tacoma, WA 98408




Call (253) 952-2400

4125 49th Avenue NE, Ste D
Tacoma, WA 98422

We are an affordable Tacoma family dentist's office. Evening & weekend appointments available. Call now for a same-day appointment!
Meet The Team

Jessica Shiao, DDS

Dr. Shiao was born in Cleveland, Ohio where she remembers the blizzards vividly.  She moved a few times during her childhood - first to New Jersey, then to Maryland.

Dr. Shiao received her Bachelor of Arts degree in Biological Sciences at Rutgers University in New Jersey. She then received her Doctor of Dental Surgery at the University of Maryland, which was the first dental school established in the United States. 

Following graduation, she pursued extra training at an Advanced Educational General Dentistry residency at High Point Dental in West Seattle. Strengthening her knowledge and skills is very important to Dr. Shiao in order to achieve high quality work. She attends lectures and workshops frequently to keep up with the latest advances in dentistry. 

Dr. Shiao cares very much for her patients and understands the importance of listening closely to each of her patient’s concerns and expectations. She is passionate about preventative care and improving each person’s oral health. She is committed to communicating complex information in an honest and compassionate manner. Through every step of dental treatment, Dr. Shiao is gentle and takes her time to make her patients feel comfortable.  When Dr. Shiao is not treating patients, she loves to exercise and be by the water. She loves to eat all different types of cuisines and spend time with her husband, family and pets.

Negin Nazarian, DDS

Dr. Negin Nazarian was born and raised in Seattle. After graduating from the University of Washington with a Bachelor of Science in Biology, specializing in Physiology, she continued her studies at the University of Minnesota School of Dentistry. After earning her Doctor of Dental Surgery degree, she elected to stay in Minnesota to begin practicing dentistry.

Dr. Nazarian recently moved back to Washington to be closer to family and the wonderful Pacific Northwest. In her spare time she enjoys exploring the lakes and mountains, going on hikes and biking. Dr. Nazarian also loves trying new restaurants and searching through antique stores.

She continues to volunteer her time with good causes including Give Kids a Smile, Union Gospel Mission, Special Olympics Dental Clinic and Feed my Starving Children.

Dr. Nazarian prides herself in partnering with patients to achieve their best smile and to promote good oral health throughout life. Her warm and welcoming personality provides a comfortable and convenient dental experience for patients.

Arnell Prato, DDS

Dentistry is my passion. My number one goal as a Dentist is to help my patients maintain and improve their dental health.  Each person is unique and has individual needs.  That's why I take time to carefully listen to each of my patients and understand their immediate concerns.  I always give my patients treatment options that take into account their dental health, overall health and financial constraints.  I take patient well-being very seriously.

I attended The Ohio State University for both my undergraduate education and dental school.  I love learning about dentistry and will never stop finding new ways to provide my patients with the best care possible.  As part of my continuing education, I have taken extensive coursework in implant dentistry, cosmetic dentistry, dental occlusion and bite analysis, oral surgery and pharmacology.

Earlier in my career, I practiced dentistry in Ohio, Louisiana and Canada.  Before moving to Washington state, I served the dental needs of the aboriginal people of northern Canada, working in remote, under-served areas of the Arctic.  My work there helped develop my "Down to Earth" philosophy, where reliable and long-lasting dental work is the primary goal.

I'm a native of the Philippines, and moved to the U.S. in 1984.  I love living in Washington and enjoy all the outdoor activities our great state has to offer.  When I'm not in the office, you can often find me kayaking, visiting farmers markets and exploring the beauty of Washington State.  I also enjoy international travel and have visited more than 70 countries.

Jacob Almanza

Jacob joined the Down to Earth Dental team in 2020. He is the Manager of our South Tacoma office. After working in the heart of Seattle as an Assistant Manager for several years, Jacob moved to Tacoma and is very excited to bring his experience to the Down to Earth Dental family. You will see him in the front office and clinical areas, making sure patients are comfortable and taken care of. Jacob lives with his fiance, four dogs, two bearded dragons, one python and a parrot named Bonkers!

Mike Thierbach

Mike is a Tacoma native and a 2007 graduate of the Pierce College Dental Hygiene Program.  He joined the Down to Earth Dental team in 2018.  His primary interests are the prevention, diagnosis and treatment of periodontal disease and oral cancer and increasing public awareness of these conditions.  Mike lives in Puyallup with his wife and two children.  In his free time he enjoys traveling, skiing/snowboarding, watching good movies and rooting for the Seahawks and Huskies!

Lori Pierce

Lori is our Lead Patient Advocate and has been with Down to Earth Dental since its inception.  Prior to this, she worked as a Dental Assistant.  Her unique blend of clinical and front office experience gives her the ability to navigate insurance plans and help patients use their coverage effectively.  At home, Lori has a husband and three children who she loves to spend all her time with!

Jennifer Ihlen

Jennifer Joined Down to Earth Dental in 2018 as a Patient Advocate.  She was born in Tacoma, raised in Puyallup and has lived in Browns Point since 2000.  Jennifer has been in the dental field for over 23 years and enjoys helping patients find their perfect smile while helping them understand their treatment needs and insurance.  She loves getting to know her patients and making them feel like family.  In her free time, Jennifer enjoys sailing, photography, cooking, volunteering, camping and spending time with family and friends.

Vanessa Scruggs

Vanessa joined Down to Earth Dental in 2018 as a Lead Dental Assistant.  Originally from Hawaii, she moved to California in 2004 and recently decided to make Washington state her new home.  Vanessa has always been passionate about dentistry – she has 13 years experience in the field.  Vanessa is married with 3 children and spends as much of her free time as possible with her family.

Greisi Gonzales

Gresi is one of our Dental Assistants. She was raised in California and has lived in Lakewood since 2012. Gresi has been in dentistry since 2014 and enjoys helping patients find their perfect smile while helping them understand their treatment needs. She loves getting to know her patients and making them feel like family. In her free time, Gresi enjoys spending time outdoors in the beautiful Pacific Northwest, volunteering, camping and spending time with family and friends.

Leticia Diaz

Leticia joined Down to Earth Dental in 2019 as a Dental Assistant. She was born in the small town of Centralia, Washington and later moved to Everett to be closer to family. Leticia earned her Associates degree at Everett Community College and later went back to school to follow her passion of Dental Assisting. She has been a Dental Assistant since 2015 and really enjoys working at Down to Earth Dental. Leticia’s goal is to provide quality service and compassionate care to her patients. In her free time, she enjoys spending time with her boyfriend and their son at home or at the park. Leticia also loves to cook and going on walks with her dog.

Chris Rado

Chris has been with Down to Earth Dental since 2010, overseeing marketing and finance. Prior to this, he was a management consultant and an airline executive. Chris graduated from the University of Notre Dame with a BBA in Finance and Indiana University with an MBA in Marketing and International Business. He spends as much of his free time as possible with his 6- and 4-year-old boys.