# EARL B HARTZOG DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EARL B HARTZOG DMD PA
- **Other names:** St Matthews Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548792617
- **Legal business name:** EARL B HARTZOG DMD PA
- **Authorized official:** DR. EARL B HARTZOG DMD (OWNER)
- **Authorized official phone:** (843) 560-1543

## Contact information

- **Practice address:** 735 HARRY C RAYSOR DR, ST MATTHEWS, SC 29135-8403
- **Practice address phone:** (803) 874-2243
- **Mailing address:** 735 HARRY C RAYSOR DR, ST MATTHEWS, SC 29135-8403
- **Mailing address phone:** (803) 874-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4591 | SC | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 06/25/2019