Provider Demographics
NPI:1417587411
Name:DEVIN K RENTZ DDS PC
Entity Type:Organization
Organization Name:DEVIN K RENTZ DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-851-7069
Mailing Address - Street 1:6285 SAPPHIRE POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-7895
Mailing Address - Country:US
Mailing Address - Phone:909-289-9282
Mailing Address - Fax:
Practice Address - Street 1:17021 LINCOLN AVE UNIT B
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3146
Practice Address - Country:US
Practice Address - Phone:720-851-7069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental