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
Mailing address300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090

Other providers in Vancouver