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

Dr. Bobby Lee Cockerham III, DDS, MSD

Individual provider Periodontics · NPI 1689969016

Dr. Bobby Lee Cockerham III, DDS, MSD is a Periodontics in Charlotte, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

6719 Fairview Rd
Charlotte, NC 28210-3879
Phone: (704) 366-2774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 514 N Broome St, Waxhaw, NC 28173-7376 — (704) 919-0454
  • 929 Market St, Fort Mill, SC 29708-6443 — (803) 547-0304

Specialties & licences

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

Record details

NPI number1689969016
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorYes
NPI enumeratedJune 14, 2011
Last updated in NPPESSeptember 13, 2018

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