IndividualActive
Bobby Cockerham, D.D.S, M.S.D
NPI 1689969016 · Periodontics · Charlotte, NC
Provider details
- NPI number
- 1689969016
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S, M.S.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9124 (NC)
Specialties & taxonomies
Dental Providers
Practice location
6719 Fairview Rd
Charlotte, NC 28210-3879
Phone: (704) 366-2774
Approximate (ZIP-level) locationGet directions
Mailing address
6719 Fairview Rd
Charlotte, NC 28210-3879
Additional practice locations (2)
- 514 N Broome StWaxhaw, NC 28173-7376Phone: (704) 919-0454
- 929 Market StFort Mill, SC 29708-6443Phone: (803) 547-0304
Registry dates
- Enumerated
- 2011-06-14
- Last updated
- 2018-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.