Earl B Hartzog Dmd PA
NPI #1548792617 in St Matthews, South Carolina
Provider Information
- NPI Number
- 1548792617
- Entity Type
- Organization
- Organization Name
- Earl B Hartzog Dmd PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EARL B HARTZOG DMD PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 29, 2017
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 735 HARRY C RAYSOR DR
- City
- St Matthews
- State
- South Carolina
- ZIP Code
- 29135-8403
- Phone
- (803) 874-2243
Authorized Official
- Name
- DR. EARL B HARTZOG, DMD
- Title
- OWNER
- Phone
- (843) 560-1543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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