| Earl B Hartzog Dmd Pa | |
|
1380 Park St Orangeburg SC 29115-4880 | |
| (803) 536-9300 | |
| (803) 536-6922 |
| Full Name | Earl B Hartzog Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1380 Park St, Orangeburg, 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 1380 Park St Orangeburg SC 29115-4880 Ph: (803) 536-9300 | Earl B Hartzog Dmd Pa 1380 Park St Orangeburg SC 29115-4880 Ph: (803) 536-9300 |
| NPI Number | 1497137160 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497137160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4591 (South Carolina) | Primary |
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