IndividualActive
Charles-Thomas Cooke, DDS, MS
NPI 1962799379 · Pediatric Dentistry · Charlotte, NC
Provider details
- NPI number
- 1962799379
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- DS039050 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2700 Coltsgate Rd
Suite 204
Charlotte, NC 28211-3799
Phone: (704) 749-5700
Fax: (704) 749-5701
Approximate (ZIP-level) locationGet directions
Mailing address
2700 Coltsgate Rd
Charlotte, NC 28211-3799
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2024-07-20
- Certified
- 2024-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.