R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc
NPI #1275016263 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1275016263
- Entity Type
- Organization
- Organization Name
- R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Sep 14, 2018
- Last Updated
- Sep 18, 2018
Practice Location
- Address
- 929 MARKET ST
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29708
- Phone
- (803) 547-0304
Authorized Official
- Name
- RICHARD OFFUTT, DDS
- Title
- OWNER
- Phone
- (704) 366-2774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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