Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Lubisich IV, DMD

Individual provider Pediatric Dentistry · NPI 1760703821

Peter Lubisich IV, DMD is a Pediatric Dentistry in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

300 SE 120th Ave Ste 100
Vancouver, WA 98683-4090
Phone: (360) 256-1755
Fax: (360) 882-8080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DE00009724 (WA)

Record details

NPI number1760703821
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 11, 2010
Last updated in NPPESJune 11, 2010

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