Peter Lubisich in Vancouver - Pediatric Dentistry
Peter Lubisich - NPI 1396756029
Peter Lubisich is a Pediatric Dentistry in Vancouver, Washington. Peter Lubisich practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Peter Lubisich is 1396756029. The last update date is 2007-07-08.
Peter Lubisich's current location address is 300 Se 120th Ave Ste 100, Vancouver, Washington. You can contact this provider via phone number 3602561755 and fax number 3608828080. The mailing address for Peter Lubisich is 300 Se 120th Ave Ste 100, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Lubisich |
|---|---|
| Address | 300 Se 120th Ave Ste 100, Vancouver, Washington |
| Phone Number | 3602561755 |
| Fax Number | 3608828080 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396756029 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Se 120th Ave Ste 100 |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986834067 |
| Phone Number | 3602561755 |
| Fax Number | 3608828080 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3798 | WA | WDS ID | |
| 409293 | WA | UNITED CONCORDIA/TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Lubisich by the Centers for Medicare & Medicaid Services (CMS)?
The Peter Lubisich has been assigned the NPI (National Provider Identifier) 1396756029. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Peter Lubisich's facilities are geographically located?
The facilities of Peter Lubisich are physically situated at the following location: 300 Se 120Th Ave Ste 100, Vancouver, WA, 986834067.
What is Peter Lubisich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter Lubisich is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396756029 to Peter Lubisich?
The Peter Lubisich received its 1396756029 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the Peter Lubisich's information last updated?
The Peter Lubisich's information was last updated on 2007-07-08.
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