SearchSouth CarolinaGeneral Practice Dentistry

Derek Dickman

NPI 1194668871 · on the registry since 2026 · sole proprietor

Practice

Address
171 Earth Rd
Elgin, SC 29045
Phone
(803) 844-5415
Organisation at this address
Dental Professional Of South Carolina, P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina