Peter 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.