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VANCOUVER PEDIATRIC DENTISTRY
NPI 1912228073
Dentist - Pediatric Dentistry in Vancouver, WA

Active since June 11, 2010
300 SE 120TH AVE, SUITE 100, VANCOUVER, WA 98683(360) 256-1755(360) 882-8080 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vancouver Pediatric Dentistry NPPES

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

VANCOUVER PEDIATRIC DENTISTRY (NPI 1912228073) is a healthcare organization registered as a pediatric dentistry in Vancouver, Washington and active in the NPI registry since June 2010. The organization lists Peter Lubisich, Owner, as its authorized official.

NPPES Registry Identity

NPI1912228073
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLUBISICH & LUBISICH, PLLC
Location Address300 SE 120TH AVE, SUITE 100Vancouver, WA 98683-4090
Mailing Address300 Se 120th Ave, Suite 100Vancouver, WA 98683-4090 · (360) 256-1755 · Fax (360) 882-8080
Phone(360) 256-1755
Fax(360) 882-8080
Organization SubpartNo
Authorized OfficialPeter LubisichOwner · (360) 256-1755
Enumeration DateJune 11, 2010
✔ NPI 1912228073 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, Vancouver, WA 98683
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Other Names 1

Doing Business AsVancouver Pediatric Dentistry

Other Identifiers 3

Medicaid5049481WA
Medicaid5046941WA
Medicaid5055413WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL R DORSEY DMD
Dentist (Oral and Maxillofacial Surgery)
300 SE 120TH AVE, SUITE 600
VANCOUVER, WA 98683
Clark County (360) 260-3290
DR. JOSEF W LUBISICH D.M.D., M.S.
Dentist (Pediatric Dentistry)
300 SE 120TH AVE, STE. 100
VANCOUVER, WA 98683
Clark County (360) 256-1755
DR. DAVID LEROY NUTTER D.D.S.
Dentist (General Practice)
300 SE 120TH AVE, SUITE 800
VANCOUVER, WA 98683
Clark County (360) 892-1170
JARED THOMAS BOWYER DDS
Dentist (General Practice)
300 SE 120TH AVE, STE 700
VANCOUVER, WA 98683
Clark County (360) 253-2640
VANCOUVER ORAL SURGERY GROUP
Dentist (Oral and Maxillofacial Pathology)
300 SE 120TH AVE, SUITE 600
VANCOUVER, WA 98683
Clark County (360) 260-3290
DR. ERINNE BISSONNETTE LUBISICH D.M.D.
Dentist (General Practice)
300 SE 120TH AVE, SUITE 400
VANCOUVER, WA 98683
Clark County (360) 256-3570
DR. MARTIN A SEIDENSCHMID DMD
Dentist (Oral and Maxillofacial Surgery)
300 SE 120TH AVE, SUITE 600
VANCOUVER, WA 98683
Clark County (360) 260-3290
MARTIN J MATOVICH DMD
Dentist (General Practice)
300 SE 120TH AVE, SUITE 400
VANCOUVER, WA 98683
Clark County (360) 256-3570

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 Lubisich & Lubisich, PLLC's NPI number?

The NPI number for Lubisich & Lubisich, PLLC is 1912228073. It was assigned to this organization in the NPPES registry on June 11, 2010. The provider is doing business as Vancouver Pediatric Dentistry.

Where is Lubisich & Lubisich, PLLC located?

Lubisich & Lubisich, PLLC is located at 300 SE 120th Ave Suite 100, Vancouver, WA 98683. The listed phone number is (360) 256-1755.

What is Lubisich & Lubisich, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lubisich & Lubisich, PLLC was last updated on June 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.