Mr Derek Allen Dickman, is a
Dentist - General Practice based in Elgin, South Carolina. Mr Derek Allen Dickman is licensed to practice in South Carolina (license number 11471) and his current practice location is
171 Earth Rd, Elgin, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 844-5415.
NPI number for Mr Derek Allen Dickman is 1194668871 and his current mailing address is 612 Robert Daniel Dr Apt 6305, Daniel Island, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194668871.
Healthcare Provider's Profile
| Full Name | Mr Derek Allen Dickman |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 171 Earth Rd, Elgin, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194668871
- Provider Enumeration Date: 04/09/2026
- Last Update Date: 07/04/2026
Medical Identifiers
Medical identifiers for Mr Derek Allen Dickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194668871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 11471 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Derek Allen Dickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Derek Allen Dickman, 612 Robert Daniel Dr Apt 6305, Daniel Island, SC 29492-7492 Ph: () - | Mr Derek Allen Dickman, 171 Earth Rd, Elgin, SC 29045-7114 Ph: (803) 844-5415 |
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