IndividualActive
Charles Cooley, DMD
NPI 1063037315 · Dentist · Meridian, ID
Provider details
- NPI number
- 1063037315
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D-5153 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2630 S Eagle Rd
Meridian, ID 83642-6704
Phone: (208) 888-0625
Fax: (208) 888-9128
Street-level locationGet directions
Mailing address
2630 S Eagle Rd
Meridian, ID 83642-6704
Registry dates
- Enumerated
- 2020-06-12
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.