R.e. Offutt, Dds, Ms And B.l. Cockerham Dds, Msp, Pllc, NPI 1275016263
Periodontist in Fort Mill, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1275016263
NPI Entity Type Organization
Provider Name R.e. Offutt, Dds, Ms And B.l. Cockerham Dds, Msp, Pllc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 929 Market St, Fort Mill, SC, US
Provider Mailing Address 6719 Fairview Road, Charlotte, NC, US, 28210
Is Sole Proprietor? No
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Organization Official

Official Name DDS Richard Offutt
Official Position OWNER
Phone 704-366-2774

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

1223P0300X

Taxonomy Name Periodontist
Classification

Dentist

Group

Dental Providers

Description 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.

Other Organization Name

Fort Mill Periodontics & Implant Dentistry
Doing Business As

Business Address

R.e. Offutt, Dds, Ms And B.l. Cockerham Dds, Msp, Pllc
929 Market St

Fort Mill, SC, US

Phone: 803-547-0304
Fax: 704-366-2639

Mailing Address

R.e. Offutt, Dds, Ms And B.l. Cockerham Dds, Msp, Pllc
6719 Fairview Road
Charlotte, NC, US
ZIP 28210
Phone: 704-366-2774
Fax: 704-366-2639

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NPI Name Taxonomy Address

1104473065

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CNA Brooke Anne Nichols

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OTR/L Sarah Bagley

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Dental Professionals Of South Carolina, P.c.

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1194486324

AGACNP Kaitlin O'sullivan

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1881089852

D.O Mohamed Mohamed Kelli

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ARNP Pamela Suzanne Harmon

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Lawanna S Carson

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MS. BCBA, COBA Brittany Leigh Fyffe

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PHARMD Taylor Lynn Brown

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Pharmacist

1676 N Highway 17

Mt Pleasant, SC

1104541515

Katherine Elizabeth Leighton

Individual

Mental Health Counselor

320 Midland Pkwy Ste C

Summerville, SC

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