OrganizationActive
Clinton Dental Care LLC
NPI 1063614469 · General Practice Dentistry · Clinton, SC
Clinton Dental Care LLC is a General Practice Dentistry organization in Clinton, SC (NPI 1063614469).
Provider details
- NPI number
- 1063614469
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kristin Derrick, Dentist(864) 833-5400
- License
- 4208 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1208 Springdale Dr
Clinton, SC 29325-7225
Phone: (864) 833-5400
Fax: (864) 833-5417
Street-level locationGet directions
Mailing address
1208 Springdale Dr.
Clinton, SC 29325
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2018-03-29
Frequently asked questions
- What is Clinton Dental Care LLC's NPI number?
- Clinton Dental Care LLC's National Provider Identifier (NPI) is 1063614469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinton Dental Care LLC?
- Clinton Dental Care LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Clinton Dental Care LLC located?
- Clinton Dental Care LLC's practice location on file with NPPES is 1208 Springdale Dr, Clinton, SC 29325-7225.
- What is Clinton Dental Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinton Dental Care LLC is (864) 833-5400.
- Who is the authorized official for Clinton Dental Care LLC?
- The authorized official listed on Clinton Dental Care LLC's NPPES record is Kristin Derrick, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinton Dental Care LLC's NPI active?
- Yes — Clinton Dental Care LLC's NPI (1063614469) is active in the NPPES registry as of the last update on 2018-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.