MEDICARE: JERRY HAROLD REITZEL DMD

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
1	1223G0001X	General Practice Dentistry	2594	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649293937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY HAROLD REITZEL DMD

Provider Business Mailing Address
First Line	:	PO BOX 860
Second Line	:
City	:	MAYO
State	:	SC
Zip	:	29368-0860
Country	:	US
Telephone Number	:	864-578-9040
Fax Number	:	864-578-0539

Provider Business Practice Location Address
First Line	:	3480 CHESNEE HIGHWAY
Second Line	:
City	:	CHESNEE
State	:	SC
Zip	:	29323
Country	:	US
Telephone Number	:	864-578-9940
Fax Number	:	864-578-0539

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1962482067 — MARYANNE M STOEPPLER DO
Practice Location Address:

513 W HARBOUR CREST DR
CHESNEE, SC
29323

Practice Phone: 864-948-5817
Practice Fax:

1861450397 — DR. PETRA K WARREN M.D.
Practice Location Address:

230 S ALABAMA AVE
CHESNEE, SC
29323-1504

Practice Phone: 864-461-4951
Practice Fax: 864-461-4956

1285684910 — SPARTANBURG SCHOOL DISTRICT TWO
Practice Location Address:

3231 OLD FURNACE RD
CHESNEE, SC
29323-9653

Practice Phone: 864-578-0128
Practice Fax: 864-578-8924

1154424836 — SOUTH CAROLINA CVS PHARMACY LLC
Practice Location Address:

109 W MANNING ST
CHESNEE, SC
29323-1538

Practice Phone: 864-461-3123
Practice Fax:

1679666044 — CASH & HENDERSON DRUGS INC
Practice Location Address:

102 S ALABAMA AVE
CHESNEE, SC
29323-1502

Practice Phone: 864-461-2314
Practice Fax: 864-461-5384

1740360312 — MRS. SUSAN C SMART LM
Practice Location Address:

950 JOLLEY RD
CHESNEE, SC
29323-9167

Practice Phone: 864-592-2404
Practice Fax:

Directions to “ JERRY HAROLD REITZEL DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.