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Mark A. Retterbush
General Practice Dentistry in Valdosta, Georgia
NPI 1447487939

Mark A. Retterbush is a General Practice Dentistry based in Valdosta, GA and is specialized in General Practice. Mark A. Retterbush practices in Valdosta, GA. The NPI Number for Mark A. Retterbush is 1447487939 and holds a License No. 9831 (Georgia).

The current practice location address for Mark A. Retterbush is 2311 N Patterson St, Valdosta, GA and can be reached out via phone at 229-244-1633 and via fax at 229-244-4663.

Location: 2311 N Patterson St, Valdosta, GA, 31602-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447487939
Provider Name
Mark A. Retterbush
Credential
Provider Entity Type
Organization
Address
2311 N Patterson St, Valdosta, GA, 31602-2510
Phone Number
229-244-1633
Fax Number
229-244-4663
Provider Enumeration Date
06/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000272159A 05 GA
1356486575 01 GA NPI INDIVIDUAL
9181766 01 GA DORAL
institution
Provider Business Practice Location Address Details
Address
2311 N Patterson St
City
Valdosta
State
Georgia
Zip
31602-2510
Phone Number
229-244-1633
Fax Number
229-244-4663
person
Provider Business Mailing Address Details
Address
2311 N Patterson St
City
Valdosta
State
Georgia
Zip
31602-2510
Phone Number
229-244-1633
Fax Number
229-244-4663
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9831 (Georgia)
Definition
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.
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