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NPI Code Detail

MEDICARE: ERIC J HARTZELL DMD PA

MEDICARE: ERIC J HARTZELL DMD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist6441NC

General Provider Information

NPI Number : 1033263793
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC J HARTZELL DMD PA
Provider Business Mailing Address
First Line : 3931 TINSLEY DRIVE
Second Line : SUITE 101
City : HIGH POINT
State : NC
Zip : 27265-1533
Country : US
Telephone Number : 336-886-8776
Fax Number : 336-886-8806
Provider Business Practice Location Address
First Line : 3931 TINSLEY DRIVE
Second Line : SUITE 101
City : HIGH POINT
State : NC
Zip : 27265-1533
Country : US
Telephone Number : 336-886-8776
Fax Number : 336-886-8806
Authorized Official
Title or Position : PRESIDENT DENTIST
Name : DR. ERIC J HARTZELL
Credential : DMD
Telephone Number : 336-886-8776
Provider Enumeration Date : 01/22/2007
Last Update Date : 08/22/2020

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Directions to “ERIC J HARTZELL DMD PA ” Practice Location

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