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DR. CHARLES A COOLEY D.D.S. NPI 1093920761


NPI Information

NPI: 1093920761
Provider Name: DR. CHARLES A COOLEY, D.D.S.
Classification: Dentist - 122300000X
Entity Type: Individual

PECOS Registration: Yes

Address:
601 TURTLE CREEK DR
TYLER, TX
ZIP 75701
Phone: (903) 592-6535
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DR. Charles A Cooley, D.D.S. is a dentist in Tyler, TX. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Charles A Cooley, D.D.S. NPI is 1093920761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 TURTLE CREEK DR
TYLER, TX
ZIP 75701-832
Phone: (903) 592-6535

The NPI 1093920761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/14/2007 and was last updated on 6/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist20146TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201047746OTHERCENTRAL STATES SOUTHEAST AND SOUTHWEST
2201047746OTHERKENTUCKYDELTA DENTAL OF KENTUCKY
3201047746OTHERTENNESSEEDELTA DENTAL OF TENNESSEE
4201047746OTHERILLINOISBLUE CROSS BLUE SHIELD OF ILLINOIS
5201047746OTHERARKANSASDELTA DENTAL OF ARKANSAS
6201047746OTHERPENNSYLVANIAUNITED CONCORDIA
7201047746OTHEROKLAHOMABLUE CROSS BLUE SHIELD OF OKLAHOMA
820104776OTHERTEXASHEALTHFIRST TPA
920104776OTHERNORTH CAROLINAPRIMARY CARE PHYSICIANS
10201047746OTHERNORTH CAROLINACOVENTRY HEALTH CARE
11201047746OTHERNEBRASKAAMERITAS LIFE
12201047746OTHERTEXASBLUE CROSS BLUE SHIELD FEDERAL
13201047746OTHERILLINOISLINECO
14201047746OTHERIOWAASSURANT
15201047746OTHERALABAMABLUE CROSS BLUE SHIELD OF ALABAMA
16201047746OTHERWASHINGTONGUARDIAN
17201047746OTHERCIGNA
18201047746OTHERMICHIGANDELTA DENTAL OF MI, OH, IN
19201047746OTHERTENNESSEEBLUE CROSS BLUE SHIELD OF TENNESSEE
2020104776OTHERTEXASWEB TPA
2120104776OTHERVIRGINIAGENWORTH FINANCIAL
22201047746OTHERMINNESOTADELTA DENTAL
23201047746OTHERIOWAPRINCIPAL LIFE
24201047746OTHERMASSACHUSETTSSUN LIFE AND HEALTH INS.
25201047746OTHERCALIFORNIASAFEHEALTH LIFE INS.
26201047746OTHERTEXASMETLIFE DENTAL
27201047746OTHERCALIFORNIAUNICARE
28201047746OTHERMISSOURIGEHA STATE OF TX DENTAL CHOICE
29201047746OTHERKENTUCKYHUMANA
30201047746OTHERCALIFORNIALIBERTY DENTAL
3120104776OTHERILLINOISDENTAL NETWORK OF AMERICA
3288D834OTHERTEXASBLUE CROSS BLUE SHIELD
33201047746OTHERNEW JERSEYDELTA DENTAL
34201047746OTHERNEW YORKDELTA DENTAL
35201047746OTHERTEXASFISERVHEALTH
36201047746OTHERCALIFORNIABC LIFE & HEALTH DENTAL SERVICES
37201047746OTHERUTAHUNITED HEALTHCARE DENTAL
38201047746OTHERGEORGIADELTA DENTAL OF GEORGIA
39201047746OTHERCALIFORNIADELTA DENTAL OF CALIFORNIA
40201047746OTHERKENTUCKYAETNA
41201047746OTHERKANSASDELTA DENTAL
42201047746OTHERTEXASUMR
43201047746OTHEROKLAHOMAOLD SURRETY LIFE
44201047746OTHERFLORIDACOMPBENEFITS
45201047746OTHERIOWADELTA DENTAL OF IOWA
46201047746OTHERWASHINGTONSTERLING LIFE INS. CO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.