Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD JOSEPH RUTECKI JR., DDS
Deactivated Sole ProprietorDR. RICHARD JOSEPH RUTECKI JR., DDS is a General Dentistry healthcare provider located in GOOSE CREEK, South Carolina. NPI 1790811206 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · GOOSE CREEK, SC
This NPI has been deactivated.
The record was deactivated on May 19, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1790811206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (14.224657534247 yrs)
- Last Updated
- Jun 18, 2021
- Deactivated
- May 19, 2021
- License
-
SC 4147 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
597 OLD MOUNT HOLLY RDSUITE 109GOOSE CREEK, SC, 294452831Browse SC providers · Browse ZIP 29445
- Phone
- 8435698795
- Fax
- 8435698797
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GOOSE CREEK, SC
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD PALMA | D.M.D. | 1295715092 |
| WILLIAM GRANT REYNOLDS | DMD | 1437139003 |
| DR. TIMOTHY IVAN MCCONNELL | D.M.D. | 1235187501 |
| DR. MARSHALL VERNON MILLER | DDS | 1013945484 |
| DR. BOBBY GENE GORE | D.D.S. | 1598824476 |
| THOMAS BRADLEY WILLIAMS | DMD | 1508929639 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.