Charles Lee Coppock, D.D.S.
General Practice Dentistry · Jacksonville, TX
Practice location
1501 E Rusk StJacksonville, TX 75766-5505
- Phone
- (903) 586-2401
NPI record
- NPI
- 1881804615
- Entity type
- Individual (Type 1)
- Enumeration date
- May 23, 2007
- Last updated
- August 30, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
12645 | TX |
About Dr. Coppock
Charles Lee Coppock, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1501 E Rusk St, Jacksonville, TX 75766-5505. The NPI number 1881804615 was assigned on May 23, 2007 and the record was last updated on August 30, 2026.
Dr. Coppock lists a license in the registry: #12645 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Charles Lee Coppock, D.D.S.?
The NPI number is 1881804615.
What is the phone number of Dr. Coppock?
The phone number listed for the practice location is (903) 586-2401.
Where is Dr. Coppock located?
1501 E Rusk St, Jacksonville, TX 75766-5505.
What is the taxonomy code for Dr. Coppock?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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