| Estill Dentistry | |
|
123 Catherine Avenue North Estill SC 29918 | |
| (803) 625-3640 | |
| (803) 625-4382 |
| Full Name | Estill Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Catherine Avenue North, Estill, South Carolina |
| Authorized Official Name and Position | Earl B Hartzog (PRESIDENT) |
| Authorized Official Contact | 8037933653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estill Dentistry 474 North St Bamberg SC 29003-1318 Ph: (803) 245-5545 | Estill Dentistry 123 Catherine Avenue North Estill SC 29918 Ph: (803) 625-3640 |
| NPI Number | 1689001034 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689001034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4591 (South Carolina) | Primary |