Peter Lubisich Iv
D.M.D. | Pediatric Dentist
300 Se 120th Ave, Suite 100, Vancouver
Washington, 98683-4090
360-256-1755 360-882-8080
Maps & DirectionsPeter Lubisich Iv 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 Peter Lubisich Iv is
DE00009724 for Pediatric Dentistry in Washington. His current practice location is
300 Se 120th Ave, Suite 100, Vancouver. Patients can reach him at
360-256-1755.
Peter Lubisich Iv 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:
Peter Lubisich Iv 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: | Peter Lubisich Iv |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 300 Se 120th Ave, Suite 100, Vancouver,
Washington, 98683-4090 |
| 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: | 1760703821 |
| NPI Enumeration Date: | 11 Jun, 2010 |
| NPI Last Update On: | 11 Jun, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Lubisich Iv are as mentioned below.
| License Number | Specialization | State | Status | |
| DE00009724 | Pediatric Dentistry | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Peter Lubisich Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DE00009724 | Other | Washington | STATE LICENSE |
| 5046941 | Medicaid | Washington | |
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, Suite 100
Vancouver, Washington |
| Zip: | 98683-4090 |
| Phone Number: | 360-256-1755 |
| Fax Number: | 360-882-8080 |
Patients can reach Peter Lubisich Iv at
300 Se 120th Ave, Suite 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.