Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194668871 Individual Practitioner Male Practitioner

Derek Allen Dickman

Dentist - General Practice • Elgin, SC

Professional Overview & Biography Verified Profile Summary

Derek Dickman is a registered healthcare professional specializing in Dentist - General Practice in Elgin, SC. Practice services are available at 171 EARTH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

171 Earth Rd

Elgin, SC 290457114

Telephone 8038445415
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elgin, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Elgin, SC (1873 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 11471

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2026

Dentist (License #11471 in SC)

NPI Profile Active April 09, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2026

Registered at 171 EARTH RD, ELGIN, SC 290457114 (Tel: 8038445415)

📍
Updated Business Mailing Address April 09, 2026

Registered at 612 ROBERT DANIEL DR APT 6305, DANIEL ISLAND, SC 294927492

👤
Provider Name / Credentials Updated April 09, 2026

Recorded as DEREK DICKMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 09, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194668871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2026
Last Update: July 04, 2026
Sole Proprietor: Yes

Mailing Address

612 Robert Daniel Dr Apt 6305

Daniel Island, SC 294927492

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.