Southpark Periodontics is a Periodontology Clinic in Charlotte, North Carolina. It is located at 6719 Fairview Rd, Charlotte, NC and its contact number is 704-366-2774. The authorized person for Southpark Periodontics is Bobby L Cockerham
who is Owner of the clinic and their contact number is 704-366-2774. Other organizations associated with this clinic are B.l. Cockerham Iii & Associates Pllc, Richard E. Offutt, Dds, Pa, The primary license number for Southpark Periodontics is 9124 (Periodontics) in North Carolina. Southpark Periodontics Clinic is specialized in that branch 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.
Complete Clinic Profile:
Southpark Periodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southpark Periodontics
Specialization:
Periodontology
Clinic Address:
6719 Fairview Rd, Charlotte, North Carolina, 28210-3879
Phone:
704-366-2774
Fax:
704-366-2639
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Bobby L Cockerham
Position:
Owner
Contact Number:
704-366-2774
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southpark Periodontics clinic are as mentioned below.
NPI Number:
1225582596
NPI Enumeration Date:
04 Aug, 2016
NPI Last Update On:
21 Jul, 2023
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
B.l. Cockerham Iii & Associates Pllc
Periodontology
1225582596
Richard E. Offutt, Dds, Pa
Periodontology
1487823845
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southpark Periodontics are as mentioned below.
Specialization
License Number
State
Status
Periodontics
9124
North Carolina
Primary
Periodontics
4673
North Carolina
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southpark Periodontics 6719 Fairview Rd, Charlotte, North Carolina
Zip:
28210-3879
Phone Number:
704-366-2774
Fax Number:
704-366-2639
Patients can reach Southpark Periodontics at 6719 Fairview Rd, Charlotte, North Carolina or can call to book an appointment on 704-366-2774. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.