B.L. COCKERHAM III & ASSOCIATES PLLC is a periodontics dentist in Charlotte, NC. The provider is 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. B.L. COCKERHAM III & ASSOCIATES PLLC NPI is 1225582596. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Southpark Periodontics.
The provider's business location address is:
6719 FAIRVIEW RD
CHARLOTTE, NC
ZIP 28210-879
Phone: (704) 366-2774
Fax: (704) 366-2639
The provider's authorized official is Bobby L Cockerham .
The authorized official title is Owner and has the following contact phone number (704) 366-2774.
The CLIA number assigned to this NPI record is 34D1005728 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/4/2016 and was last updated on 7/21/2023.