Individual
DR. RICHARD JOHN POCKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
425 SOUTH SHARON AMITY ROAD, SUITE B, CHARLOTTE, NC 28211-2841
(704) 364-3422
(704) 364-3511
Mailing address
425 SOUTH SHARON AMITY ROAD, SUITE B, CHARLOTTE, NC 28211-2841
(704) 364-3422
(704) 364-3511
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109607
UNITED CONCORDIA
NC
01
—
96946
BLUECROSS BLUESHIELD
NC
Enumeration date
09/25/2006
Last updated
07/08/2007
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