| Earl B Hartzog Dmd Pa | |
|
17652 Heritage Hwy Denmark SC 29042-1469 | |
| (803) 793-3653 | |
| (803) 753-9777 |
| Full Name | Earl B Hartzog Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 17652 Heritage Hwy, Denmark, South Carolina |
| Authorized Official Name and Position | Earl B Hartzog (PRESIDENT) |
| Authorized Official Contact | 8435600639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earl B Hartzog Dmd Pa 17652 Heritage Hwy Denmark SC 29042-1469 Ph: (803) 793-3653 | Earl B Hartzog Dmd Pa 17652 Heritage Hwy Denmark SC 29042-1469 Ph: (803) 793-3653 |
| NPI Number | 1093047896 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093047896 | NPI | - | NPPES |
| ZX4591 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4591 (South Carolina) | Primary |
Samuel Broughton Baker Jr Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 174 Beech Avenue, Denmark, SC 29042 Phone: 803-793-3653 | |
Earl B Hartzog Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5576 Carolina Hwy, Denmark, SC 29042 Phone: 803-793-3365 |