Derek T Dunlap, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

3550 Issued in SC

Practice address

700 Squire's Pointe Drive
Suite a
Duncan, SC 29334

Phone

(864) 486-8330

Fax

(864) 486-8358

NPI assigned

Jul 18, 2006

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1982622585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SQUIRE'S POINTE DRIVE",
            "address_2": "SUITE A",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "29334",
            "telephone_number": "864-486-8330",
            "fax_number": "864-486-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SQUIRE'S POINTE DRIVE",
            "address_2": "SUITE A",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "29334",
            "telephone_number": "864-486-8330",
            "fax_number": "864-486-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "DEREK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "SC",
            "license": "003550",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "SC",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3550",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Davis
• Naporsha Davis, MMFT
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• Destination Dental of Duncan LLC
• Jennifer D Dewyea, PT
• Claire Durdon, PHARMD
• Gabrielle Eberle, M.S. CCC-SLP
• Jennifer Marie Echenagucia, MA CCC/SLP
• Elevate Physical Medicine LLC
• Emory Upper Cervical Chiropractic Dba Wellness Chiropractic Health Cen

• Oral & Maxillofacial Surgery (D.M.D.) in Duncan, SC
• Providers in Duncan, SC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.