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CLINTON DENTAL CARE LLC
NPI 1063614469
Dentist - General Practice in Clinton, SC

Active since June 05, 2007
1208 SPRINGDALE DR, CLINTON, SC 29325(864) 833-5400(864) 833-5417 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinton Dental Care Llc NPPES

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

CLINTON DENTAL CARE LLC (NPI 1063614469) is a healthcare organization registered as a general practice in Clinton, South Carolina and active in the NPI registry since June 2007. The organization lists Kristin Rowland Derrick, Dentist, as its authorized official.

NPPES Registry Identity

NPI1063614469
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLINTON DENTAL CARE LLC
Location Address1208 SPRINGDALE DRClinton, SC 29325-7225
Mailing Address1208 Springdale Dr., Po Box 837Clinton, SC 29325 · (864) 833-5400 · Fax (864) 833-5417
Phone(864) 833-5400
Fax(864) 833-5417
Organization SubpartNo
Authorized OfficialKristin Rowland DerrickDentist · (864) 833-5400
Enumeration DateJune 5, 2007
Last NPPES UpdateMarch 29, 2018
✔ NPI 1063614469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 4208
Definition
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.
1208 SPRINGDALE DR, Clinton, SC 29325
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTIN ROWLAND DERRICK DMD
Dentist (General Practice)
1208 SPRINGDALE DR
CLINTON, SC 29325
Laurens County (864) 833-5400

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 Clinton Dental Care LLC's NPI number?

The NPI number for Clinton Dental Care LLC is 1063614469. It was assigned to this organization in the NPPES registry on June 5, 2007.

Where is Clinton Dental Care LLC located?

Clinton Dental Care LLC is located at 1208 Springdale Dr, Clinton, SC 29325. The listed phone number is (864) 833-5400.

What is Clinton Dental Care LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clinton Dental Care LLC was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.