Earl B Hartzog DMD PA
Organization Active NPI General Practice Dentistry · Estill, SC
NPI 1689001034 · NPPES record last updated Oct 1, 2013
Key facts
- NPI
- 1689001034
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4591 (SC)
- Legal business name
- EARL B HARTZOG DMD PA
- Practice address
- 123 Catherine Avenue North
Estill, SC 29918 - Phone
- (803) 625-3640
- Fax
- (803) 625-4382
- NPI assigned
- Oct 1, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Earl B Hartzog, DMD
- Title
- President
- Phone
- (803) 793-3653
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Earl B Hartzog DMD PA
Locations
123 Catherine St N
Estill, SC 29918
Phone (803) 625-3640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4591 | SC | Yes |
Addresses
Primary practice location
123 Catherine Avenue North
Estill, SC 29918
Mailing address
474 North St
Bamberg, SC 29003-1318
Phone (803) 245-5545
Other names
- Estill Dentistry
Other providers in Estill, SC
- Beaufort Jasper Hampton Comprehensive Health Services, Inc.
- Ethel B Dany
- David H McKenzie Jr OD Inc
- Definite Delivery Home Care LLC
- Cathy Wall Deloach
- Heather Epton
- Estill Community Pharmacy LLC
- Demetrice Evans
- Federal Correctional Ins Estill
- Taliyah Frazier
All providers in Estill, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.