Mark A. Retterbush

LBN: Mark A. Retterbush
Mark A. Retterbush is an health care organization with primary practice located at 2311 N Patterson St , Valdosta GA 31602-2510. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mark A. Retterbush can be contacted via phone (229) 244-1633, or through Retterbush, Mark Allen via phone (229) 244-1633.

Contact Information

Primary practice address
2311 N Patterson St Valdosta GA 31602-2510
Phone: (229) 244-1633
Fax: (229) 244-4663
Website:
Map and Directions
Authorized official contact:
Name: Retterbush, Mark Allen Doctor of Dental Medicine (DMD)
Phone: (229) 244-1633

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9831 Georgia

Profile Details

NPI number 1447487939
LBN Legal business name Mark A. Retterbush
DBA Doing business as
Authorized official Retterbush, Mark Allen Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2009
Last updated Jun 11th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447487939 NPPES
Georgia MEDICAID 000272159A
Georgia Other 1356486575
Georgia Other 9181766

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