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TRIDENT DERMATOLOGY
NPI 1366404659
Dermatology in Charleston, SC

Active since April 04, 2006CLIA 42D0682447 · Certificate of Compliance
9295 MEDICAL PLAZA DR, B, CHARLESTON, SC 29406(843) 797-3960 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trident Dermatology NPPES

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

TRIDENT DERMATOLOGY (NPI 1366404659) is a healthcare organization registered as a dermatology in Charleston, South Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 15, 2028 and lists Blake Aaron Guinn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1366404659
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTRIDENT DERMATOLOGY, PA
Location Address9295 MEDICAL PLAZA DR, BCharleston, SC 29406-9137
Mailing Address9295 Medical Plaza Dr, BCharleston, SC 29406-9137 · (843) 797-3960
Phone(843) 797-3960
Organization SubpartNo
Authorized OfficialBlake Aaron GuinnPractice Manager · (843) 797-3960
Enumeration DateApril 4, 2006
Last NPPES UpdateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1366404659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in SC · 10773
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
9295 MEDICAL PLAZA DR, Charleston, SC 29406
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Other Names 1

Doing Business AsTrident Dermatology

Other Identifiers 2

OtherCK8300SC · Medicare Railroad
MedicaidPA5761SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 42D0682447

Trident Dermatology · North Charleston, SC
Active · expires Mar 15, 2028
CLIA Number42D0682447
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDr. John C. Maize Jr
Laboratory Phone(843) 797-3960
Laboratory LocationTrident Dermatology9295 Medical Plaza Drive, Suite A, North Charleston, SC 29406
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

HUDSON C ROGERS M.D.
Dermatology
9295 MEDICAL PLAZA DR, SUITE B
CHARLESTON, SC 29406
Charleston County (843) 797-3960
DR. JOHN C MAIZE JR. MD
Dermatology (Dermatopathology)
9295 MEDICAL PLAZA DR, SUITE A
CHARLESTON, SC 29406
Charleston County (843) 797-3960
MICHAEL D OVERCASH PA
Physician Assistant
9295 MEDICAL PLAZA DR, SUITE B
CHARLESTON, SC 29406
Charleston County (843) 797-3960
PALMETTO INFUSION SERVICES, LLC
Pharmacy (Home Infusion Therapy Pharmacy)
9295 MEDICAL PLAZA DR, SUITE C
NORTH CHARLESTON, SC 29406
Charleston County (843) 414-0287
DR. DENNIS MICHAEL HULL MD
Dermatology
9295 MEDICAL PLAZA DR, SUITE B
CHARLESTON, SC 29406
Charleston County (843) 797-3960

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 Trident Dermatology, PA's NPI number?

The NPI number for Trident Dermatology, PA is 1366404659. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Trident Dermatology.

Where is Trident Dermatology, PA located?

Trident Dermatology, PA is located at 9295 Medical Plaza Dr B, Charleston, SC 29406. The listed phone number is (843) 797-3960.

What is Trident Dermatology, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Trident Dermatology, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0682447) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trident Dermatology, PA accept?

Health plans from BlueCross BlueShield of South Carolina list Trident Dermatology, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trident Dermatology, PA was last updated on August 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.