CHARLES PRESTON POOLE DDS
NPI 1851834964
Dentist - General Practice in Modesto, CA

Active since November 21, 2016
4101 TULLY RD STE 201, MODESTO, CA 95356(209) 577-0777(209) 572-3845 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2018, Nov 22, 2016 (2 updates tracked since 2016).

About Charles Preston Poole Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES PRESTON POOLE DDS (NPI 1851834964) is an individual general practice provider in Modesto, California, licensed in South Carolina (9142) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1851834964
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES PRESTON POOLECredential: DDS
Location Address4101 TULLY RD STE 201Modesto, CA 95356-8981
Mailing Address3608 Dale RdModesto, CA 95356-0500 · (209) 577-0777 · Fax (209) 577-0885
Fax(209) 572-3845
Sole ProprietorNo
Enumeration DateNovember 21, 2016
Last NPPES UpdateDecember 27, 20182 updates tracked since enumeration
NPI 1851834964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in SC · 9142 Licensed in CA · 100373
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4101 TULLY RD STE 201, Modesto, CA 95356

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4101 TULLY RD STE 201
MODESTO, CA 95356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Poole's NPI number?

The NPI number for Charles Poole is 1851834964. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Where is Charles Poole located?

Charles Poole practices at 4101 Tully Rd Ste 201, Modesto, CA 95356. The listed phone number is (209) 577-0777.

What is Charles Poole's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Charles Poole accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Charles Poole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Poole was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.