UNION PERIODONTICS & IMPLANT DENTISTRY
NPI 1609235183
Dentist - Periodontics in Waxhaw, NC

Q: What is Richard Offutt, Dds & Bobby Cockerham, Dds's specialty?

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

Active since February 12, 2016

514 N BROOME ST, WAXHAW, NC 28173(704) 919-0454 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Union Periodontics & Implant Dentistry NPPES

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

UNION PERIODONTICS & IMPLANT DENTISTRY (NPI 1609235183) is a healthcare organization registered as a periodontics in Waxhaw, North Carolina and active in the NPI registry since February 2016. The organization lists Richard Offutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1609235183

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameRICHARD OFFUTT, DDS & BOBBY COCKERHAM, DDS

Location Address514 N BROOME STWaxhaw, NC 28173-7376

Mailing Address6719 Fairview RdCharlotte, NC 28210-3879 · (704) 366-2774

Phone(704) 919-0454

Organization SubpartNo

Authorized OfficialRichard OffuttOwner · (704) 366-2774

Enumeration DateFebruary 12, 2016

✔ NPI 1609235183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NC · 4673

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.

514 N BROOME ST, Waxhaw, NC 28173

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Other Names 1

Doing Business AsUnion Periodontics & Implant Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. ANDREW JACKSON BRANCH DDS

Dentist

514 N BROOME ST
WAXHAW, NC 28173

Union County (704) 843-3958

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 Richard Offutt, Dds & Bobby Cockerham, Dds's NPI number?

The NPI number for Richard Offutt, Dds & Bobby Cockerham, Dds is 1609235183. It was assigned to this organization in the NPPES registry on February 12, 2016. The provider is doing business as Union Periodontics & Implant Dentistry.

Where is Richard Offutt, Dds & Bobby Cockerham, Dds located?

Richard Offutt, Dds & Bobby Cockerham, Dds is located at 514 N Broome St, Waxhaw, NC 28173. The listed phone number is (704) 919-0454.

What is Richard Offutt, Dds & Bobby Cockerham, Dds'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 Richard Offutt, Dds & Bobby Cockerham, Dds was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.