MEDICARE: JARED EARL D.M.D.

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	122300000X	Dentist	DGD.8604 GD	SC

General Provider Information

NPI Number	:	1922482926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED EARL D.M.D.

Provider Business Mailing Address
First Line	:	1111 W O EZELL BLVD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-1655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 W O EZELL BLVD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-1655
Country	:	US
Telephone Number	:	864-576-0947
Fax Number	:

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

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	07/20/2015

Similar Medicare Providers

1093718009 — DR. CHARLES S. BEBKO D.M.D.
Practice Location Address:

1111 W O EZELL BLVD , STE. B
SPARTANBURG, SC
29301-1655

Practice Phone: 864-576-0947
Practice Fax: 864-576-7989

1811074735 — DR. RICHARD T. PROVINE D.M.D
Practice Location Address:

1111 W O EZELL BLVD , STE.A
SPARTANBURG, SC
29301-1655

Practice Phone: 864-576-0943
Practice Fax: 864-576-7989

1104372085 — CHARLES S BEBKO DMD PC
Practice Location Address:

1111 W O EZELL BLVD
SPARTANBURG, SC
29301-1655

Practice Phone: 864-576-0947
Practice Fax: 864-576-7989

1285586396 — DELILAH MARIE RODRIGUEZ
Practice Location Address:

217 KEATON CT
SPARTANBURG, SC
29301-2770

Practice Phone: 484-987-1599
Practice Fax:

1033061189 — CORNERSTONE CAREGIVING EAST LLC
Practice Location Address:

603 W MAIN ST
SPARTANBURG, SC
29301-2105

Practice Phone: 864-572-4090
Practice Fax:

1588122501 — BRANDI SHAYE MOORE PA
Practice Location Address:

2430 REIDVILLE RD
SPARTANBURG, SC
29301-3652

Practice Phone: 864-516-1783
Practice Fax:

Directions to “ JARED EARL D.M.D.” 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.