Individual provider · Type 1 NPI

Derek Allen Dickman

General Practice Dentistry · Elgin, SC

NPI number 1194668871 Active

Practice location

171 Earth Rd
Elgin, SC 29045-7114

Mailing address

612 Robert Daniel Dr Apt 6305
Daniel Island, SC 29492-7492

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X11471 (SC)

General Practice Dentistry: 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.

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About NPI 1194668871

Derek Allen Dickman's National Provider Identifier is 1194668871, issued on Apr 9, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Elgin, SC. The record was last updated on Jul 4, 2026.