| Earl B Hartzog Dmd Pa | |
|
474 North St Bamberg SC 29003-1318 | |
| (803) 245-5545 | |
| (803) 245-5534 |
| Full Name | Earl B Hartzog Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 474 North St, Bamberg, South Carolina |
| Authorized Official Name and Position | Earl Barrett Hartzog (PRESIDENT) |
| Authorized Official Contact | 8032455545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earl B Hartzog Dmd Pa 474 North St Bamberg SC 29003-1318 Ph: (803) 245-5545 | Earl B Hartzog Dmd Pa 474 North St Bamberg SC 29003-1318 Ph: (803) 245-5545 |
| NPI Number | 1114202736 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114202736 | NPI | - | NPPES |
| ZX4591 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4591 (South Carolina) | Primary |
Jordan Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Presbyterian St, Bamberg, SC 29003 Phone: 803-531-1601 Fax: 803-531-1601 | |
Ernest Gary Jeffords Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 474 North St, Bamberg, SC 29003 Phone: 803-245-5545 Fax: 803-245-5534 | |
Allen T. Webb, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Presbyterian St, Pob 523, Bamberg, SC 29003 Phone: 803-245-4335 | |
Earl B Hartzog Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 474 North St, Bamberg, SC 29003 Phone: 803-245-5545 Fax: 803-245-5534 |