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MR. DEREK ALLEN DICKMAN
NPI 1194668871
Dentist - General Practice in Elgin, SC

Active since April 09, 2026

NPPES record last updated: July 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek Allen Dickman NPPES

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

MR. DEREK ALLEN DICKMAN (NPI 1194668871) is an individual general practice provider in Elgin, South Carolina, licensed in South Carolina (11471) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1194668871
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. DEREK ALLEN DICKMAN
Location Address171 EARTH RDElgin, SC 29045-7114
Mailing Address612 Robert Daniel Dr Apt 6305Daniel Island, SC 29492-7492
Phone(803) 844-5415
Sole ProprietorYes
Enumeration DateApril 9, 2026
Last NPPES UpdateJuly 4, 2026
NPPES CertifiedJuly 4, 2026
✔ NPI 1194668871 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 · 11471
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.
171 EARTH RD, Elgin, SC 29045
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Other Providers at the Same Location NPPES

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

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Dentist
171 EARTH RD
ELGIN, SC 29045
Kershaw County (803) 233-1706

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 Derek Dickman's NPI number?

The NPI number for Derek Dickman is 1194668871. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Derek Dickman located?

Derek Dickman practices at 171 Earth Rd, Elgin, SC 29045. The listed phone number is (803) 844-5415.

What is Derek Dickman'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 Derek Dickman was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.