NPI age
16 years
Enumerated 2009-06-11
● Active Type 2 · Organization
Mark A. Retterbush
Mark A. Retterbush is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Retterbush
Dr/ Owner
Last NPPES update
2009-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2311 N Patterson St
Valdosta, GA 316022510
Mailing address
2311 N Patterson St
Valdosta, GA 316022510
Authorized official
Mark Allen Retterbush, D.M.D.
Dr/ Owner
📞 2292441633
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Meredith Barker, D.M.D Dentist NPI 1770703720
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000272159A | |
| 01 (GA) | 1356486575 | NPI INDIVIDUAL |
| 01 (GA) | 9181766 | DORAL |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.