| Earl B Hartzog Dmd Pa | |
|
5576 Carolina Hwy Denmark SC 29042-2238 | |
| (803) 793-3365 | |
| Not Available |
| Full Name | Earl B Hartzog Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5576 Carolina Hwy, Denmark, South Carolina |
| Authorized Official Name and Position | Earl Barrett Hartzog (PRESIDENT) |
| Authorized Official Contact | 8435601543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earl B Hartzog Dmd Pa 5576 Carolina Hwy Denmark SC 29042-2238 Ph: (803) 793-3365 | Earl B Hartzog Dmd Pa 5576 Carolina Hwy Denmark SC 29042-2238 Ph: (803) 793-3365 |
| NPI Number | 1588047724 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588047724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4591 (South Carolina) | Primary |
Earl B Hartzog Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17652 Heritage Hwy, Denmark, SC 29042 Phone: 803-793-3653 Fax: 803-753-9777 | |
Samuel Broughton Baker Jr Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 174 Beech Avenue, Denmark, SC 29042 Phone: 803-793-3653 |