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Charles Lee Coppock, DDS
General Practice Dentistry in Jacksonville, Texas
NPI 1881804615

Charles Lee Coppock is a General Practice Dentistry based in Jacksonville, TX and is specialized in General Practice. Charles Lee Coppock practices in Jacksonville, TX and has the professional credentials of DDS. The NPI Number for Charles Lee Coppock is 1881804615 and holds a License No. 12645 (Texas).

The current practice location address for Charles Lee Coppock is 1501 E Rusk St, Jacksonville, TX and can be reached out via phone at 903-586-2401.

Location: 1501 E Rusk St, Jacksonville, TX, 75766-5505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881804615
Provider Name
Charles Lee Coppock
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1501 E Rusk St, Jacksonville, TX, 75766-5505
Phone Number
903-586-2401
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 E Rusk St
City
Jacksonville
State
Texas
Zip
75766-5505
Phone Number
903-586-2401
Fax Number
person
Provider Business Mailing Address Details
Address
1501 E Rusk St
City
Jacksonville
State
Texas
Zip
75766-5505
Phone Number
903-586-2401
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12645 (Texas)
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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