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DUTCH FORK FAMILY DENTISTRY, PA
NPI 1104166792
Clinic/Center - Dental in Irmo, SC

Active since February 19, 2013
7436 BROAD RIVER RD STE 111, IRMO, SC 29063(803) 749-3333(803) 749-3335 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dutch Fork Family Dentistry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUTCH FORK FAMILY DENTISTRY, PA (NPI 1104166792) is a healthcare organization registered as a dental in Irmo, South Carolina and active in the NPI registry since February 2013. The organization lists Sherry Benenhaley Rauch, President, as its authorized official.

NPPES Registry Identity

NPI1104166792
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDUTCH FORK FAMILY DENTISTRY, PA
Location Address7436 BROAD RIVER RD STE 111Irmo, SC 29063-7601
Mailing Address7436 Broad River Rd Ste 111Irmo, SC 29063-7601 · (803) 749-3333 · Fax (803) 749-3335
Phone(803) 749-3333
Fax(803) 749-3335
Organization SubpartNo
Authorized OfficialSherry Benenhaley RauchPresident · (803) 749-3333
Enumeration DateFebruary 19, 2013
✔ NPI 1104166792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · 4654
7436 BROAD RIVER RD STE 111, Irmo, SC 29063
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dutch Fork Family Dentistry, PA's NPI number?

The NPI number for Dutch Fork Family Dentistry, PA is 1104166792. It was assigned to this organization in the NPPES registry on February 19, 2013.

Where is Dutch Fork Family Dentistry, PA located?

Dutch Fork Family Dentistry, PA is located at 7436 Broad River Rd Ste 111, Irmo, SC 29063. The listed phone number is (803) 749-3333.

What is Dutch Fork Family Dentistry, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dutch Fork Family Dentistry, PA was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.