| Organization Name: | RENTZ FAMILY DENTISTRY |
| NPI Number: | 1316207640 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STAN L RENTZ (DENTIST) |
| Mailing Address: | 775 Kings Bay Rd B St. Marys |
| State: | GA US |
| Postal Code: | 31558 |
| Phone Number: | 9125106000 |
| Fax Number: | 9125106004 |
| NPI Enumeration Date: | 05/21/2012 |
| NPI Last Update Date: | 05/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DN013769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |