Richard E Offutt in Charlotte - Periodontics

Richard E Offutt - NPI 1356391122

Richard E Offutt is a Periodontics in Charlotte, North Carolina. Richard E Offutt practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Richard E Offutt is 1356391122. The last update date is 2007-07-08.

Richard E Offutt's current location address is 6719 Fairview Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043662774 and fax number 7043662639. The mailing address for Richard E Offutt is 6719 Fairview Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard E Offutt
Address 6719 Fairview Rd, Charlotte, North Carolina
Phone Number 7043662774
Fax Number 7043662639
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1356391122
Provider Enumeration Date 2006-05-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6719 Fairview Rd
City Charlotte
State North Carolina (NC)
Post Code 282103323
Phone Number 7043662774
Fax Number 7043662639

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 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 structure

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FAQs about Richard E Offutt

What is the unique 10-digit identification code issued to Richard E Offutt by the Centers for Medicare & Medicaid Services?

The Richard E Offutt has been assigned the NPI (National Provider Identifier) 1356391122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Richard E Offutt is geographically located?

The Richard E Offutt is physically situated at the following location: 6719 Fairview Rd, Charlotte, NC, 282103323.

What is the Richard E Offutt's specialty and taxonomy code?

The Richard E Offutt's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date did the Richard E Offutt receive its 1356391122 assignment from the Centers for Medicare & Medicaid Services?

The Richard E Offutt was assigned its 1356391122 by the Centers for Medicare & Medicaid Services on 2006-05-11.

As of what date were the Richard E Offutt's details last updated?

The information pertaining to the Richard E Offutt, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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