FORT MILL PERIODONTICS & IMPLANT DENTISTRY
NPI 1275016263
Dentist - Periodontics in Fort Mill, SC

Q: What is R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since September 14, 2018

929 MARKET ST, FORT MILL, SC 29708(803) 547-0304(704) 366-2639 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Sep 14, 2018 (2 updates tracked since 2018).

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About Fort Mill Periodontics & Implant Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT MILL PERIODONTICS & IMPLANT DENTISTRY (NPI 1275016263) is a healthcare organization registered as a periodontics in Fort Mill, South Carolina and active in the NPI registry since September 2018. The organization lists Richard Offutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1275016263

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameR.E. OFFUTT, DDS, MS AND B.L. COCKERHAM DDS, MSP, PLLC

Location Address929 MARKET STFort Mill, SC 29708

Mailing Address6719 Fairview RoadCharlotte, NC 28210 · (704) 366-2774 · Fax (704) 366-2639

Phone(803) 547-0304

Fax(704) 366-2639

Organization SubpartNo

Authorized OfficialRichard OffuttOwner · (704) 366-2774

Enumeration DateSeptember 14, 2018

Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration

✔ NPI 1275016263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

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.

929 MARKET ST, Fort Mill, SC 29708

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Other Names 1

Doing Business AsFort Mill Periodontics & Implant Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW KIDS DENTAL

Clinic/Center (Dental)

929 MARKET ST
FORT MILL, SC 29708

York County (803) 579-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC's NPI number?

The NPI number for R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC is 1275016263. It was assigned to this organization in the NPPES registry on September 14, 2018. The provider is doing business as Fort Mill Periodontics & Implant Dentistry.

Where is R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC located?

R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC is located at 929 Market St, Fort Mill, SC 29708. The listed phone number is (803) 547-0304.

What is R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for R.E. Offutt, Dds, Ms And B.L. Cockerham Dds, Msp, PLLC was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.