EARL B HARTZOG DMD PA (NPI# 1548792617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548792617 |
| Entity Type | Organization |
| Organization Name | EARL B HARTZOG DMD PA |
| Other Organization Name | ST MATTHEWS DENTISTRY |
| Practice Address |
735 Harry C Raysor Dr St Matthews SC 29135-8403 |
| Practice Telephone | 8038742243 |
| Mailing Telephone | 8038742243 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | DR. EARL B HARTZOG (OWNER) |
| Authorized Official Telephone | 8435601543 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | EARL B HARTZOG DMD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4591 | SC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Cook Road Dentistry | Doing Business As Name - Organization |
| St Matthews Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427502160 | Earl B Hartzog Dmd Pa | Dentist | 649 West Carolina Ave, Varnville, SC 29944 | 2016-08-11 |
| 1689001034 | Earl B Hartzog Dmd Pa | Dentist | 123 Catherine Avenue North, Estill, SC 29918 | 2013-10-01 |
| 1619341138 | Earl B Hartzog Dmd Pa | Dentist | 474 North St, Bamberg, SC 29003-1318 | 2015-11-20 |
| 1588047724 | Earl B Hartzog Dmd Pa | Dentist | 5576 Carolina Hwy, Denmark, SC 29042-2238 | 2015-07-07 |
| 1497137160 | Earl B Hartzog Dmd Pa | Dentist | 1380 Park St, Orangeburg, SC 29115-4880 | 2015-06-18 |
| 1114202736 | Earl B Hartzog Dmd Pa | Dentist | 474 North St, Bamberg, SC 29003-1318 | 2011-10-14 |
| 1093047896 | Earl B Hartzog Dmd Pa | Dentist | 174 Beech Ave, Denmark, SC 29042 | 2010-02-03 |
| Street Address |
735 HARRY C RAYSOR DR |
| City | ST MATTHEWS |
| State | SC |
| Zip Code | 29135-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323347 | Ohio Valley Physicians Inc | Family Medicine | 2827 Old Belleville Rd, St Matthews, SC 29135 | 2019-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1700114352 | Jennifer D. Gatch | Doula | 397 Grey Fox Road, St. Matthews, SC 29135 | 2009-11-19 |
| 1457688236 | Saint Matthews Ambulance Service LLC | Ambulance | 39 Tecklenburg Ln, St Matthews, SC 29135 | 2009-11-16 |
| 1477734481 | Calhoun Family Practice | Family Medicine | 104 Guess Lane, St. Matthews, SC 29135 | 2007-11-19 |
| 1043409519 | Mary V Berry | Social Worker | 110 Waterview Rd, St Matthews, SC 29135 | 2007-10-19 |
| 1679796254 | Sarah K Mclauchlin | Physician Assistant | 725 Harry C. Raysor Dr., St. Matthews, SC 29135 | 2007-04-11 |
| 1295879229 | Karen Jean Coons | Pharmacist | 715 Harry C Raysor Dr, St Matthews, SC 29135 | 2007-02-15 |
| 1871656348 | Carolyn Rebecca Thompson | Dentist | 811 Harry Raysor Drive, St Matthews, SC 29135 | 2006-12-18 |
| 1316008394 | Blu Bird Inc | Durable Medical Equipment & Medical Supplies | 711 Harry Raysor Dr, Saint Matthews, SC 29135 | 2006-12-13 |
| Find all providers in zip 29135 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | ST MATTHEWS |
| Zip Code | 29135 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.