Orangeburg Dentistry | |
1380 Park St Orangeburg SC 29115-4880 | |
(803) 536-9300 | |
(803) 536-6922 |
Full Name | Orangeburg Dentistry |
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Speciality | Dentist - General Practice |
Location | 1380 Park St, Orangeburg, South Carolina |
Authorized Official Name and Position | Earl Barrett Hartzog (PRESIDENT) |
Authorized Official Contact | 8435601543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orangeburg Dentistry 1380 Park St Orangeburg SC 29115-4880 Ph: (803) 536-9300 | Orangeburg Dentistry 1380 Park St Orangeburg SC 29115-4880 Ph: (803) 536-9300 |
NPI Number | 1497137160 |
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Provider Enumeration Date | 06/18/2015 |
Last Update Date | 06/18/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497137160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4591 (South Carolina) | Primary |
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