Charles Lee Coppock in Jacksonville - General Practice
Charles Lee Coppock - NPI 1881804615
Charles Lee Coppock is a General Practice in Jacksonville, Texas. Charles Lee Coppock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Lee Coppock is 1881804615. The last update date is 2007-07-08.
Charles Lee Coppock's current location address is 1501 E Rusk St, Jacksonville, Texas. You can contact this provider via phone number 9035862401. The mailing address for Charles Lee Coppock is 1501 E Rusk St, Jacksonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Lee Coppock |
|---|---|
| Address | 1501 E Rusk St, Jacksonville, Texas |
| Phone Number | 9035862401 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1881804615 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1501 E Rusk St |
|---|---|
| City | Jacksonville |
| State | Texas (TX) |
| Post Code | 757665505 |
| Phone Number | 9035862401 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12645 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Charles Lee Coppock by the Centers for Medicare & Medicaid Services?
The Charles Lee Coppock has been issued the NPI (National Provider Identifier) 1881804615, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles Lee Coppock located?
The Charles Lee Coppock is located at 1501 E Rusk St, Jacksonville, TX 757665505.
What is the Charles Lee Coppock's specialty and taxonomy code?
The Charles Lee Coppock's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881804615 to Charles Lee Coppock?
The Charles Lee Coppock received its 1881804615 assignment from the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date was the information regarding Charles Lee Coppock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Lee Coppock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.