Search › Idaho › 122300000X
Charles Cooley, DMD
NPI 1063037315 · on the registry since 2020
Practice
- Address
- 2630 S Eagle Rd
Meridian, ID 83642 - Phone
- (208) 888-0625
- Fax
- (208) 888-9128
- Organisation at this address
- Stone Creek Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho