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

Dr. Charles Robert Cooley, DMD

Individual provider Dentist · NPI 1063037315

Dr. Charles Robert Cooley, DMD is a Dentist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2630 S Eagle Rd
Meridian, ID 83642-6704
Phone: (208) 888-0625
Fax: (208) 888-9128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-5153 (ID)

Record details

NPI number1063037315
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address2630 S Eagle Rd, Meridian, ID 83642-6704

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