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DR. PETER LUBISICH DDS
NPI 1396756029
Dentist - Pediatric Dentistry in Vancouver, WA

Active since August 10, 2006
300 SE 120TH AVE STE 100, VANCOUVER, WA 98683(360) 256-1755(360) 882-8080 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Lubisich Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER LUBISICH DDS (NPI 1396756029) is an individual pediatric dentistry provider in Vancouver, Washington, licensed in Washington (4438) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396756029
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. PETER LUBISICHCredential: DDS
Location Address300 SE 120TH AVE STE 100Vancouver, WA 98683-4067
Mailing Address300 Se 120th Ave Ste 100Vancouver, WA 98683-4067 · (360) 256-1755 · Fax (360) 882-8080
Phone(360) 256-1755
Fax(360) 882-8080
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396756029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · 4438
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
300 SE 120TH AVE STE 100, Vancouver, WA 98683
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Other Identifiers 2

Other409293WA · United Concordia/tricare
Other3798WA · Wds Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, HRI Dental & Vision, Humana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Lubisich's NPI number?

The NPI number for Peter Lubisich is 1396756029. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Peter Lubisich located?

Peter Lubisich practices at 300 SE 120th Ave Ste 100, Vancouver, WA 98683. The listed phone number is (360) 256-1755.

What is Peter Lubisich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Peter Lubisich accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, PacificSource Health Plans and Paramount list Peter Lubisich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Lubisich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.