Southpark Periodontics

LBN: B.L. Cockerham Iii & Associates Pllc
Southpark Periodontics is an health care organization with primary practice located at 6719 Fairview Rd , Charlotte NC 28210-3879. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. B.L. Cockerham Iii & Associates Pllc can be contacted via phone (704) 366-2774, or through Cockerham, Bobby L via phone (704) 366-2774.

Contact Information

Primary practice address
6719 Fairview Rd Charlotte NC 28210-3879
Phone: (704) 366-2774
Fax: (704) 366-2639
Website:
Map and Directions
Authorized official contact:
Name: Cockerham, Bobby L Doctor of Dental Surgery (DDS)
Phone: (704) 366-2774

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 4673 North Carolina
Dental Providers / Periodontics 1223P0300X 9124 North Carolina

Profile Details

NPI number 1225582596
LBN Legal business name B.L. Cockerham Iii & Associates Pllc
DBA Doing business as Southpark Periodontics
Authorized official Cockerham, Bobby L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2016
Last updated Jul 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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