Individual provider · Type 1 NPI

Bobby Lee Cockerham Iii, D.D.S, M.S.D

Periodontics · Charlotte, NC

NPI number 1689969016 Active

Practice location

6719 Fairview Rd
Charlotte, NC 28210-3879

Other practice locations

  • 514 N Broome St, Waxhaw, NC 28173-7376 · (704) 919-0454
  • 929 Market St, Fort Mill, SC 29708-6443 · (803) 547-0304

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X9124 (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.

4 other providers at this address

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About NPI 1689969016

Bobby Lee Cockerham Iii, D.D.S, M.S.D's National Provider Identifier is 1689969016, issued on Jun 14, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Charlotte, NC. The record was last updated on Sep 13, 2018.