Organization
R.E. OFFUTT, DDS, MS AND B.L. COCKERHAM DDS, MSP, PLLC
Active
Other names
Fort Mill Periodontics & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD OFFUTT DDS (OWNER)
(704) 366-2774
Entity
Organization
Contact information
Practice address
929 MARKET ST, FORT MILL, SC 29708
(803) 547-0304
(704) 366-2639
Mailing address
6719 FAIRVIEW ROAD, CHARLOTTE, NC 28210
(704) 366-2774
(704) 366-2639
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/18/2018
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