DR. RICHARD E OFFUTT III (NPI# 1356391122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356391122 |
| Entity Type | Individual |
| Full Name | DR. RICHARD E OFFUTT III |
| Credential | DDS |
| Practice Address |
6719 Fairview Rd Charlotte NC 28210-3323 |
| Practice Telephone | 7043662774 |
| Practice Fax Number | 7043662639 |
| Mailing Telephone | 7043662774 |
| Mailing Fax Number | 7043662639 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4673 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265521736 | Richard A Offutt | Psychologist | 4015 South Cobb Dr, #115, Smyrna, GA 30080 | 2006-10-12 |
| Street Address |
6719 FAIRVIEW RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822044 | Margaret Caroline Jones | Dentist | 6719 Fairview Rd, Charlotte, NC 28210-3879 | 2020-05-12 |
| 1225582596 | Richard Offutt Dds Ms and Bobby Cockerham Dds Msd, Pllc | Dentist | 6719 Fairview Rd, Charlotte, NC 28210-3879 | 2016-08-04 |
| 1689969016 | Bobby Lee Cockerham IIi | Dentist | 6719 Fairview Rd, Charlotte, NC 28210-3879 | 2011-06-14 |
| 1487823845 | Richard E. Offutt, Dds, Pa | Dentist | 6719 Fairview Rd, Charlotte, NC 28210-6355 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124300306 | Eric Francis D'silva | Dentist | 14135 Ballantyne Corporate Pl Ste 175, Charlotte, NC 28277-3876 | 2011-09-14 |
| 1558557173 | William C James Dds Pa | Dentist | 200 Queens Rd Ste 310, Charlotte, NC 28204-3257 | 2007-09-18 |
| 1710100813 | George J Stuart Jr. | Dentist | 1335 Elizabeth Ave, Cpcc Department of Dental Hygiene, Charlotte, NC 28204 | 2007-04-10 |
| 1003039108 | George J Stuart Jr Dds Pa | Dentist | 2040 A Randolph Rd, Charlotte, NC 28207 | 2007-04-10 |
| 1982781597 | Robert Paul Rubins | Dentist | 3535 Randolph Rd Ste 103r, Charlotte, NC 28211-1081 | 2006-11-01 |
| 1033294483 | Tolmie, Rasenberger & Van Kesteren, Dds, Pa | Dentist | 2315 W Arbors Dr Ste 100, Charlotte, NC 28262-2660 | 2006-10-26 |
| 1831274539 | Kenneth P Rasenberger | Dentist | 8734 University City Blvd, Charlotte, NC 28213-3558 | 2006-10-25 |
| 1073620225 | H. Nelson Eddy Dds & Mehul H. Gadhia, Dmd, Msp | Dentist | 14135 Ballantyne Corporate Pl, Suite 175, Charlotte, NC 28277-3383 | 2006-08-24 |
| 1922030667 | Donald D Franklin I | Dentist | 1408 Orchard Lake Dr # A, Charlotte, NC 28270-1474 | 2006-07-06 |
| 1518915560 | William Chandler James | Dentist | 200 Queens Road, Suite 310, Charlotte, NC 28204 | 2006-05-04 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on DR. RICHARD E OFFUTT III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.