Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Lee Coppock, DDS

Individual provider General Practice Dentistry · NPI 1881804615

Charles Lee Coppock, DDS is a General Practice Dentistry in Jacksonville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1501 E Rusk St
Jacksonville, TX 75766-5505
Phone: (903) 586-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12645 (TX)

Record details

NPI number1881804615
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1501 E Rusk St, Jacksonville, TX 75766-5505

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