Organization · Type 2 NPI
Richard Offutt, DDS & Bobby Cockerham, DDS
Periodontics · Waxhaw, NC
NPI number
1609235183
Active
Practice location
514 N Broome St
Waxhaw, NC 28173-7376
Mailing address
6719 Fairview Rd
Charlotte, NC 28210-3879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 4673 (NC) |
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 1609235183
Richard Offutt, DDS & Bobby Cockerham, DDS's National Provider Identifier is 1609235183, issued on Feb 12, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Waxhaw, NC. The record was last updated on Feb 12, 2016.