| Earl B Hartzog Dmd Pa | |
|
735 Harry C Raysor Dr St Matthews SC 29135-8403 | |
| (803) 874-2243 | |
| Not Available |
| Full Name | Earl B Hartzog Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 735 Harry C Raysor Dr, St Matthews, South Carolina |
| Authorized Official Name and Position | Earl B Hartzog (OWNER) |
| 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 735 Harry C Raysor Dr St Matthews SC 29135-8403 Ph: (803) 874-2243 | Earl B Hartzog Dmd Pa 735 Harry C Raysor Dr St Matthews SC 29135-8403 Ph: (803) 874-2243 |
| NPI Number | 1548792617 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548792617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4591 (South Carolina) | Primary |