Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

B.l. Cockerham III & Associates PLLC

Organization Periodontics · NPI 1225582596

B.l. Cockerham III & Associates PLLC is a Periodontics in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6719 Fairview Rd
Charlotte, NC 28210-3879
Phone: (704) 366-2774
Fax: (704) 366-2639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 9124 (NC)
Periodontics Taxonomy 1223P0300X · Licence 4673 (NC)

Record details

NPI number1225582596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobby Cockerham — Owner · (704) 366-2774
Other names Southpark Periodontics
NPI enumeratedAugust 4, 2016
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address6719 Fairview Rd, Charlotte, NC 28210-3879

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