DR. MARK ALLEN RETTERBUSH


Address: 2311 North Patterson St, Valdosta, GA 31602
Phone: 2292441633

DR. MARK ALLEN RETTERBUSH (NPI# 1356486575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356486575
Entity Type Individual
Full Name DR. MARK ALLEN RETTERBUSH
Credential DMD PC
Practice Address 2311 North Patterson St
Valdosta
GA 31602
Mailing Address 2311 N Patterson St
Valdosta
GA 31602
Practice Telephone 2292441633
Practice Fax Number 2292440661
Mailing Telephone 2292441633
Mailing Fax Number 2292440661
Enumeration Date 2007-02-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 9831 GA Dental Providers

Office Location

Street Address 2311 NORTH PATTERSON ST
City VALDOSTA
State GA
Zip Code 31602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
Find all providers in zip 31602

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639528516 Affordable Dentures & Implants - Valdosta, P.C. Dentist 282 Norman Dr Ste D, Valdosta, GA 31601-5493 2016-06-10
1497104871 Hardy Lamar Gray Dentist 3362 Greystone Way, Valdosta, GA 31605-1096 2016-06-07
1518353846 Mark A. Roland, Dmd PC Dentist 101 E Northside Dr, Suite D, Valdosta, GA 31602-1724 2015-04-14
1649683541 Dustin Ross Kilby Dentist 2704 Oak Center Dr, Valdosta, GA 31605 2014-06-09
1053632224 Stanley Todd Alderman Dentist 114 W Cranford Ave, Valdosta, GA 31602-2931 2010-06-22
1073760369 Donald W. Garner Dentist 114 W. Cranford Ave, Valdosta, GA 31602 2008-08-19
1174704837 James Charles Broadfoot Dentist 414 Pendleton Pl, Valdosta, GA 31602-2603 2007-11-21
1770703720 Meredith Spann Barker Dentist 2311 N Patterson St, Valdosta, GA 31602-2510 2007-05-01
1285758086 Ronald Kelley Reagin Jr. Dentist 2309 N Patterson St, Valdosta, GA 31602-2510 2007-03-19
1932239225 Lisa Michelle Chatman Dentist 4258 Spring Branch Cir, Valdosta, GA 31601-0605 2007-03-06
Find all providers in VALDOSTA

Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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