Organization
RICHARD E. OFFUTT, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E OFFUTT DDS (PRESIDENT)
(704) 366-2744
Entity
Organization
Contact information
Practice address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-6355
(704) 366-2774
(704) 366-2639
Mailing address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-6355
(704) 366-2774
(704) 366-2639
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4673
NC
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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