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 provides Dermatology Physician services 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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