Organization
PEBBLE CREEK DENTAL & IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASETIN WADE LYBBERT DDS (DENTIST)
(208) 848-5220
Entity
Organization
Contact information
Practice address
2360 NEZ PERCE DR, LEWISTON, ID 83501-4107
(208) 848-5220
Mailing address
3228 9TH ST, LEWISTON, ID 83501-4856
(208) 848-5220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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