Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Trident Dermatology, PA

Organization Dermatology Physician · NPI 1366404659

Trident Dermatology, PA is a Dermatology Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9295 Medical Plaza Dr B
Charleston, SC 29406-9137
Phone: (843) 797-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 10773 (SC)

Record details

NPI number1366404659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Guinn — Practice Manager · (843) 797-3960
Other names Trident Dermatology; Trident Dermatology
NPI enumeratedApril 4, 2006
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address9295 Medical Plaza Dr, B, Charleston, SC 29406-9137

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