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MARK A. RETTERBUSH
NPI 1447487939
Dentist - General Practice in Valdosta, GA

Active since June 11, 2009
2311 N PATTERSON ST, VALDOSTA, GA 31602(229) 244-1633(229) 244-4663 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A. Retterbush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A. RETTERBUSH (NPI 1447487939) is a healthcare organization registered as a general practice in Valdosta, Georgia and active in the NPI registry since June 2009. The organization lists Mark Allen Retterbush, Dr/ Owner, as its authorized official.

NPPES Registry Identity

NPI1447487939
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARK A. RETTERBUSH
Location Address2311 N PATTERSON STValdosta, GA 31602-2510
Mailing Address2311 N Patterson StValdosta, GA 31602-2510 · (229) 244-1633 · Fax (229) 244-4663
Phone(229) 244-1633
Fax(229) 244-4663
Organization SubpartNo
Authorized OfficialMark Allen RetterbushDr/ Owner · (229) 244-1633
Enumeration DateJune 11, 2009
✔ NPI 1447487939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 9831
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.
2311 N PATTERSON ST, Valdosta, GA 31602
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Other Identifiers 3

Medicaid000272159AGA
Other1356486575GA · Npi Individual
Other9181766GA · Doral

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEREDITH SPANN BARKER D.M.D
Dentist
2311 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 244-1633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark A. Retterbush's NPI number?

The NPI number for Mark A. Retterbush is 1447487939. It was assigned to this organization in the NPPES registry on June 11, 2009.

Where is Mark A. Retterbush located?

Mark A. Retterbush is located at 2311 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 244-1633.

What is Mark A. Retterbush's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark A. Retterbush was last updated on June 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.