Dr. Peter Lubisich is a Vancouver, Washington based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Peter Lubisich is
4438 for Pediatric Dentistry in Washington. His current practice location is
300 Se 120th Ave Ste 100, Vancouver. Patients can reach him at
360-256-1755.
Dr. Peter Lubisich 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 Profile:
Dr. Peter Lubisich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Peter Lubisich |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 300 Se 120th Ave Ste 100, Vancouver,
Washington, 98683-4067 |
| Phone: | 360-256-1755 |
| Fax: | 360-882-8080 |
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 are as mentioned below.
| NPI Number: | 1396756029 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Peter Lubisich are as mentioned below.
| License Number | Specialization | State | Status | |
| 4438 | Pediatric Dentistry | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Peter Lubisich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3798 | Other | Washington | WDS ID |
| 409293 | Other | Washington | UNITED CONCORDIA/TRICARE |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 300 Se 120th Ave Ste 100,
Vancouver, Washington |
| Zip: | 98683-4067 |
| Phone Number: | 360-256-1755 |
| Fax Number: | 360-882-8080 |
Patients can reach Dr. Peter Lubisich at
300 Se 120th Ave Ste 100, Vancouver, Washington or can
call to book an appointment on 360-256-1755.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.