Organization
RICHARD OFFUTT, DDS & BOBBY COCKERHAM, DDS
Active
Other names
Union 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
514 N BROOME ST, WAXHAW, NC 28173-7376
(704) 919-0454
Mailing address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3879
(704) 366-2774
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4673
NC
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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