Organization · Type 2 NPI
R.e. Offutt, Dds, MS and B.l. Cockerham Dds, Msp, PLLC
Periodontics · Fort Mill, SC
NPI number
1275016263
Active
Practice location
929 Market St
Fort Mill, SC 29708
Fax (704) 366-2639
Mailing address
6719 Fairview Road
Charlotte, NC 28210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1275016263
R.e. Offutt, Dds, MS and B.l. Cockerham Dds, Msp, PLLC's National Provider Identifier is 1275016263, issued on Sep 14, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Mill, SC. The record was last updated on Sep 18, 2018.