Organization Active NPI

Rentz Family Dentistry

  • Dental Clinic/Center
  • Saint Marys, GA
National Provider Identifier
1316207640
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN013769 Issued in GA
Legal business name
RENTZ FAMILY DENTISTRY
Practice address
775 Kings Bay Rd
B
St. Marys, GA 31558
Phone
(912) 510-6000
Fax
(912) 510-6004
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stan L Rentz, DMD
Title
Dentist
Phone
(912) 510-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN013769 GA Primary

Addresses

Primary practice location

775 Kings Bay Rd
B
St. Marys, GA 31558

Mailing address

775 Kings Bay Rd
B
St. Marys, GA 31558
Phone (912) 510-6000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1316207640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 KINGS BAY RD",
            "address_2": "B",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-510-6000",
            "fax_number": "912-510-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 KINGS BAY RD",
            "address_2": "B",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-510-6000",
            "fax_number": "912-510-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTZ FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "RENTZ",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "912-510-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.