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EARL B HARTZOG DMD PA NPI 1689001034


NPI Information

NPI: 1689001034
Provider Name: EARL B HARTZOG DMD PA

Doing Business As: ESTILL DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
123 CATHERINE AVENUE NORTH
ESTILL, SC
ZIP 29918
Phone: (803) 625-3640
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EARL B HARTZOG DMD PA is a general practice dentist in Estill, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EARL B HARTZOG DMD PA NPI is 1689001034. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Estill Dentistry.

The provider's business location address is:

123 CATHERINE AVENUE NORTH
ESTILL, SC
ZIP 29918
Phone: (803) 625-3640
Fax: (803) 625-4382

The provider's authorized official is Earl B Hartzog .
The authorized official title is President and has the following contact phone number (803) 793-3653.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 10/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice4591SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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