P Praxis·MD
● Active Type 1 · Individual

DR. Casetin Wade Lybbert, DDS

Dentist·Pocatello, ID· NPI 1699405225 · Enumerated 2022 · 3 years on NPI
Lybbert is 1 of 69 dentist providers in Pocatello and 1 of 1099 in Idaho.
NPI age
3 years
Enumerated 2022-06-15
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1099 active dentist providers in Idaho.

NPI age
3 years
↓ 15 yr below median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
465 Memorial Dr
Pocatello, ID 832014008
📞 2082826000
Mailing address
4170 Hawthorne Rd
Chubbuck, ID 832022707
📞 2088166278

Specialties

  • Dentist Primary
    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.
    ID license #D-5415 taxonomy 1223G0001X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D-5415 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 127 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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