DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CASETIN WADE LYBBERT, DDS

Active Sole Proprietor

DR. CASETIN WADE LYBBERT, DDS is a General Dentistry healthcare provider located in POCATELLO, Idaho. NPI 1699405225 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · POCATELLO, ID

Registration Details

NPI Number
1699405225
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2022 (4.1201822925391 yrs)
Last Updated
Jun 15, 2022
Licenses
D-5415 (ID)
D-5415 (ID)
Sole Proprietor
Yes

Practice Information

Address
465 MEMORIAL DR
POCATELLO, ID, 832014008
Browse ID providers · Browse ZIP 83201
Phone
2082826000
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in POCATELLO, ID

Name Credential NPI
DR. RICHARD E. FELLOWS D.D.S. 1730139023
DAVID MICHAEL SUTTON D.D.S. 1578517181
DR. JASON ARTHUR MAUSETH DDS 1316968241
TRAVIS BOYER D.M.D. 1992715304
DR. KYLE JAMES SIEMEN DMD 1952311078
MARCUS D NEFF DDS 1811907744
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.