Individual
DR. DEREK T DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 SQUIRE'S POINTE DRIVE, SUITE A, DUNCAN, SC 29334
(864) 486-8330
(864) 486-8358
Mailing address
700 SQUIRE'S POINTE DRIVE, SUITE A, DUNCAN, SC 29334
(864) 486-8330
(864) 486-8358
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
003550
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3550
—
SC
Enumeration date
07/18/2006
Last updated
03/23/2020
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