Individual
DR. JOHN MARSHALL HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
654 VALLEY CUB DR, ALEXANDRIA, AL 36250-4200
(256) 847-1111
Mailing address
235 OAKLAND DR, OXFORD, AL 36203-4605
(334) 332-4764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006900-C1
AL
Other
Enumeration date
06/08/2021
Last updated
11/21/2023
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