| Pebble Creek Dental & Implants Pllc | |
|
2360 Nez Perce Dr Lewiston ID 83501-4107 | |
| (208) 848-5220 | |
| Not Available |
| Full Name | Pebble Creek Dental & Implants Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2360 Nez Perce Dr, Lewiston, Idaho |
| Authorized Official Name and Position | Casetin Wade Lybbert (DENTIST) |
| Authorized Official Contact | 2088485220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pebble Creek Dental & Implants Pllc 3228 9th St Lewiston ID 83501-4856 Ph: (208) 848-5220 | Pebble Creek Dental & Implants Pllc 2360 Nez Perce Dr Lewiston ID 83501-4107 Ph: (208) 848-5220 |
| NPI Number | 1710841978 |
|---|---|
| Provider Enumeration Date | 12/12/2025 |
| Last Update Date | 12/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710841978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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