IndividualActive
Charles Cooper
NPI 1104222173 · Dentist · Cushing, OK
Provider details
- NPI number
- 1104222173
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5163 (OK)
Practice location
3200 S Kings Hwy
Cushing, OK 74023-5355
Phone: (918) 225-3336
Fax: (918) 223-2937
Mailing address
3200 S Kings Hwy
Cushing, OK 74023-5355
Registry dates
- Enumerated
- 2014-11-18
- Last updated
- 2014-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.