DR. SHERRY BENENHALEY RAUCH (NPI# 1619139482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619139482 |
| Entity Type | Individual |
| Full Name | DR. SHERRY BENENHALEY RAUCH |
| Credential | DDS |
| Practice Address |
7436 Broad River Rd Suite 111 Irmo SC 29063-7601 |
| Mailing Address |
671 Twin Pine Dr Chapin SC 29036-8025 |
| Practice Telephone | 8037493333 |
| Practice Fax Number | 8037493335 |
| Mailing Telephone | 8034143886 |
| Mailing Fax Number | 8037493335 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4654 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX4654 | 05 |
| Street Address |
7436 BROAD RIVER RD SUITE 111 |
| City | IRMO |
| State | SC |
| Zip Code | 29063-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1730619495 | Joshua Fulton | Dentist | 7897 Broad River Rd, Irmo, SC 29063-2357 | 2017-06-15 |
| 1215399977 | Kelcy Ann Huddle | Dentist | 7241 Broad River Rd Ste 90, Irmo, SC 29063-8164 | 2016-03-22 |
| 1225419930 | Patrick William Orman Iv | Dentist | 7210 Broad River Rd Ste N, Irmo, SC 29063-8150 | 2015-06-18 |
| 1144534223 | Allen Crosby Livingston Jr. | Dentist | 1028 Kinley Road, Irmo, SC 29063-9632 | 2010-08-02 |
| 1417100371 | Childrens Dental Group of South Carolina | Dentist | 7210k Broad River Rd, Irmo, SC 29063-7973 | 2008-10-23 |
| 1760664304 | Distinctive Dentistry | Dentist | 11107 Broad River Rd, Suite D, Irmo, SC 29063-7602 | 2007-12-05 |
| 1255463808 | A. Crosby Livingston, Jr., Dmd, Pa | Dentist | 1028 Kinley Rd, Irmo, SC 29063-9632 | 2007-03-09 |
| 1992849624 | Gregory Joseph Wych | Dentist | 7505 Saint Andrews Rd, Irmo, SC 29063 | 2007-02-16 |
| 1043350507 | Michelle Lynne Mistele | Dentist | 3533 Dreher Shoals Rd, Irmo, SC 29063-9115 | 2007-02-07 |
| Find all providers in IRMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.