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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EARL B HARTZOG DMD PA

Active Organization

EARL B HARTZOG DMD PA is a General Dentistry organization located in ST MATTHEWS, South Carolina. NPI 1548792617 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ST MATTHEWS, SC

Registration Details

NPI Number
1548792617
Provider Type
Organization
NPI Issued
Mar 29, 2017 (9.197899589436 yrs)
Last Updated
Jun 25, 2019
License
4591 (SC)

Practice Information

Address
735 HARRY C RAYSOR DR
ST MATTHEWS, SC, 291358403
Browse SC providers · Browse ZIP 29135
Phone
8038742243
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.