Lester James Rentz Jr., D.M.D.
Individual provider Active NPI General Practice Dentistry · Lake Park, GA
NPI 1356376255 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1356376255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN013123 (GA)
- Practice address
- 3012 U.S. Hwy 41 South
Lake Park, GA 31636-3467 - Phone
- (229) 559-4700
- Fax
- (229) 559-5009
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013123 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013123 | GA | Yes |
Addresses
Primary practice location
3012 U.S. Hwy 41 South
Lake Park, GA 31636-3467
Mailing address
3012 U.S. Highway 41 South
Lake Park, GA 31636-3467
Phone (229) 559-4700
Other providers in Lake Park, GA
- Lauren Pearce
- Dorothy B Price
- Elizabeth W Prince
- Professional Nursing and Support Services LLC
- Professional Nursing and Support Services LLC
- Tyrone Wedell Robinson
- Shanna Nicole Rozier
- South Georgia Radiology Consultants, PC
- South Health District
- Murray Geronamo Starling
All providers in Lake Park, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.