Sensational Smiles of Charleston, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SENSATIONAL SMILES OF CHARLESTON, LLC

Practice address

597 Old Mount Holly Rd Ste 209
Goose Creek, SC 29445-2832

Phone

(843) 569-8795

Fax

(843) 569-8797

NPI assigned

May 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard J Rutecki, DDSNPI 1790811206

Title

Owner

Phone

(843) 569-8795

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Joseph Rutecki Jr., DDS

  • General Practice Dentistry
  • Goose Creek, SC
  • NPI 1790811206
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1962076398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD STE 209",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452832",
            "telephone_number": "843-569-8795",
            "fax_number": "843-569-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD STE 209",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452832",
            "telephone_number": "843-569-8795",
            "fax_number": "843-569-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL SMILES OF CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "RUTECKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-569-8795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WHOEVER",
            "identifier": "123",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@sschas.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "597 Old Mount Holly Rd Ste 209",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294452832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Scibek, DPM
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• James Noel Ligan Segarra
• Matthew John Sept, DMD
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• Rabia Shah, RPH
• Janelle Sheekey, APRN
• Amanda Shelly

• Dental Clinic/Center in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.