Hintz, Olaru, & Penberthy, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE60733503 Issued in WA

Legal business name

HINTZ, OLARU, & PENBERTHY, DDS, PLLC

Doing business as

Marycliff Dental Center

Practice address

823 W 7TH Ave Ste 202
Spokane, WA 99204-2850

Phone

(509) 744-0916

Fax

(509) 744-0961

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Delilah Lessor

Title

Office Manager

Phone

(509) 744-0916

Specialties & licenses 3

Addresses

Other names 2

• Marycliff Dental Center Doing business as
• Marycliff Endodontics Other name

Locations

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1558854844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W 7TH AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042850",
            "telephone_number": "509-744-0916",
            "fax_number": "509-744-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W 7TH AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042850",
            "telephone_number": "509-744-0916",
            "fax_number": "509-744-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINTZ, OLARU, & PENBERTHY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "LESSOR",
        "authorized_official_first_name": "DELILAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-744-0916"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60733503",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00006981",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60739845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marycliff Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marycliff Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marycliff Endodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Drake Douglas Hinkins, PAC
• Jeri E Hinman, LMP
• Caitlyn Anne Hinojosa
• Mary Hinrichs, LICSW
• Wendy Lynn Hinshaw, RN
• Carey Liam Hintze
• Alyssa Hinz
• Anna R Hinz, MA
• Hip of Spokane County
• Meredith L Hipperson

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.