Individual provider · Type 1 NPI

Casetin Wade Lybbert, DDS

General Practice Dentistry · Pocatello, ID

NPI number 1699405225 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Call (208) 282-6000 Map

Mailing address

4170 Hawthorne Rd
Chubbuck, ID 83202-2707

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD-5415 (ID)
General Practice Dentistry Primary 1223G0001XD-5415 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1699405225

Casetin Wade Lybbert, DDS's National Provider Identifier is 1699405225, issued on Jun 15, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pocatello, ID. The record was last updated on Jun 15, 2022.