Robert Renck DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROBERT RENCK DDS PLLC

Doing business as

Lilac City Dental

Practice address

707 W Francis Ave
Spokane, WA 99205-6401

Phone

(509) 327-3368

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Robert Paul Renck, DDS

Title

Owner

Phone

(828) 318-2196

Specialties & licenses 1

Addresses

Other names 1

• Lilac City Dental Doing business as

Locations

Practitioners 2

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

• Byron Theodore Hildahl, DDS

  • Dentist
  • Spokane, WA
  • NPI 1811945348
  NPD (past)
• Don G Marshall, DDS

  • General Practice Dentistry
  • Spokane, WA
  • NPI 1699770537
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1699242628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FRANCIS AVE # 111",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056401",
            "telephone_number": "509-327-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT RENCK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "RENCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-318-2196",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keann Calmay Roberson
• Melissa Hope Roberson, LMP
• Robert E Stoffregen Ma PS
• Robert M Hughes DDS,PS
• Robert R. Shaw D.M.D.
• Madison Marie Roberts-Haley, PA
• Aaron James Roberts, DNP, PMHNP-BC
• Amy Elizabeth Roberts, LMHC
• April Lee Roberts, PH.D.
• Charles N. Roberts, MD

• Dental Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.