Vancouver Pediatric Dentistry is a Pediatric Dental Clinic in Vancouver, Washington. It is located at 300 Se 120th Ave, Suite 100, Vancouver, WA and its contact number is 360-256-1755. The authorized person for Vancouver Pediatric Dentistry is Peter Lubisich Iv
who is Owner of the clinic and their contact number is 360-256-1755. Other organizations associated with this clinic are Vancouver Oral Surgery Group, Lubisich & Lubisich, Pllc, The primary license number for Vancouver Pediatric Dentistry is 4438 (Pediatric Dentistry) in Washington. Vancouver Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Vancouver Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Vancouver Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
300 Se 120th Ave, Suite 100, Vancouver, Washington, 98683-4090
Phone:
360-256-1755
Fax:
360-882-8080
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Peter Lubisich Iv
Position:
Owner
Contact Number:
360-256-1755
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vancouver Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1912228073
NPI Enumeration Date:
11 Jun, 2010
NPI Last Update On:
11 Jun, 2010
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Vancouver Oral Surgery Group
Oral and Maxillofacial Pathology
1568568772
Lubisich & Lubisich, Pllc
Pediatric Dentistry
1912228073
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vancouver Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
4438
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5049481
Medicaid
Washington
5055413
Medicaid
Washington
5046941
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Vancouver Pediatric Dentistry 300 Se 120th Ave, Suite 100 Vancouver, Washington
Zip:
98683-4090
Phone Number:
360-256-1755
Fax Number:
360-882-8080
Patients can reach Vancouver Pediatric Dentistry at 300 Se 120th Ave, Suite 100, Vancouver, Washington or can call to book an appointment on 360-256-1755. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.