St Matthews Dentistry | |
735 Harry C Raysor Dr St Matthews SC 29135-8403 | |
(803) 874-2243 | |
Not Available |
Full Name | St Matthews Dentistry |
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Speciality | Dentist - General Practice |
Location | 735 Harry C Raysor Dr, St Matthews, South Carolina |
Authorized Official Name and Position | Earl B Hartzog (OWNER) |
Authorized Official Contact | 8435601543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Matthews Dentistry 735 Harry C Raysor Dr St Matthews SC 29135-8403 Ph: (803) 874-2243 | St Matthews Dentistry 735 Harry C Raysor Dr St Matthews SC 29135-8403 Ph: (803) 874-2243 |
NPI Number | 1548792617 |
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Provider Enumeration Date | 03/29/2017 |
Last Update Date | 06/25/2019 |
Identifier | Type | State | Issuer |
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1548792617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4591 (South Carolina) | Primary |