Pebble Creek Dental & Implants PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PEBBLE CREEK DENTAL & IMPLANTS PLLC

Practice address

2360 Nez Perce Dr
Lewiston, ID 83501-4107

Phone

(208) 848-5220

NPI assigned

Dec 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Casetin Wade Lybbert, DDSNPI 1699405225

Title

Dentist

Phone

(208) 848-5220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casetin Wade Lybbert, DDS

  • General Practice Dentistry
  • Pocatello, ID
  • NPI 1699405225
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1710841978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 9TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014856",
            "telephone_number": "208-848-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 NEZ PERCE DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014107",
            "telephone_number": "208-848-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE CREEK DENTAL & IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LYBBERT",
        "authorized_official_first_name": "CASETIN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-848-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret A Paulson, PA
• Paulucci Shoes
• Raymond M. Paz, M.D.
• Peak Performance Physical Therapy
• Lynn-Marie Morgan Peashka, PMHNP-BC
• Joshua Robert Peregoy, PTA
• William Joseph Perez, D.M.D.
• Performance Physio PLLC
• Perio Docs - Lewiston PLLC
• David A Petersen, MD

• Dentist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.