NPIMap

Organization Active NPI

Earl B Hartzog DMD PA

Doing business as Denmark Family Dental

  • General Practice Dentistry
  • Denmark, SC
National Provider Identifier
1588047724
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4591 Issued in SC
Legal business name
EARL B HARTZOG DMD PA
Doing business as
Denmark Family Dental
Practice address
5576 Carolina Hwy
Denmark, SC 29042-2238
Phone
(803) 793-3365
NPI assigned
Jul 7, 2015
Last updated
Jul 19, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
EARL B HARTZOG DMD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Earl Barrett Hartzog, DMD
Title
President
Phone
(843) 560-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4591 SC Primary

Addresses

Primary practice location

5576 Carolina Hwy
Denmark, SC 29042-2238

Mailing address

5576 Carolina Hwy
Denmark, SC 29042-2238
Phone (803) 793-3365

Other names 1

  • Denmark Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Earl B Hartzog DMD PA8 organizations share this tax ID, including this one
Part of
Earl B Hartzog DMD PA

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5576 Carolina Hwy
Denmark, SC 29042
Phone (803) 793-3365

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437264000000",
    "number": "1588047724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 CAROLINA HWY",
            "city": "DENMARK",
            "state": "SC",
            "postal_code": "290422238",
            "telephone_number": "803-793-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 CAROLINA HWY",
            "city": "DENMARK",
            "state": "SC",
            "postal_code": "290422238",
            "telephone_number": "803-793-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL B HARTZOG DMD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EARL B HARTZOG DMD PA",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-19",
        "status": "A",
        "authorized_official_last_name": "HARTZOG",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-560-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denmark Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denmark, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.