OrganizationActive
Earl B Hartzog DMD PA
NPI 1548792617 · General Practice Dentistry · St Matthews, SC
Earl B Hartzog DMD PA is a General Practice Dentistry organization in St Matthews, SC (NPI 1548792617).
Provider details
- NPI number
- 1548792617
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Earl B Hartzog DMD PA
- Organization subpart
- Yes
- Authorized official
- Earl Hartzog, Owner(843) 560-1543
- License
- 4591 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
735 Harry C Raysor Dr
St Matthews, SC 29135-8403
Phone: (803) 874-2243
Street-level locationGet directions
Mailing address
735 Harry C Raysor Dr
St Matthews, SC 29135-8403
Other names (DBA / former)
- Doing business as
- St Matthews Dentistry
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2019-06-25
Frequently asked questions
- What is Earl B Hartzog DMD PA's NPI number?
- Earl B Hartzog DMD PA's National Provider Identifier (NPI) is 1548792617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Earl B Hartzog DMD PA?
- Earl B Hartzog DMD PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Earl B Hartzog DMD PA located?
- Earl B Hartzog DMD PA's practice location on file with NPPES is 735 Harry C Raysor Dr, St Matthews, SC 29135-8403.
- What is Earl B Hartzog DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Earl B Hartzog DMD PA is (803) 874-2243.
- Who is the authorized official for Earl B Hartzog DMD PA?
- The authorized official listed on Earl B Hartzog DMD PA's NPPES record is Earl Hartzog, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Earl B Hartzog DMD PA's NPI active?
- Yes — Earl B Hartzog DMD PA's NPI (1548792617) is active in the NPPES registry as of the last update on 2019-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.