Charles Preston Poole, DDS - Dentist in Modesto, CA

Charles Preston Poole, DDS is a Dentist - General Practice based in Modesto, California. Charles Preston Poole is licensed to practice in South Carolina (license number 9142) and his current practice location is 4101 Tully Rd Ste 201, Modesto, California. He can be reached at his office (for appointments etc.) via phone at (209) 577-0777.

NPI number for Charles Preston Poole is 1851834964 and his current mailing address is 3608 Dale Rd, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851834964.

Contact Information

Charles Preston Poole, DDS
4101 Tully Rd Ste 201,
Modesto, CA 95356-8981
(209) 577-0777
(209) 572-3845



Healthcare Provider's Profile

Full NameCharles Preston Poole
GenderMale
SpecialityDentist - General Practice
Location4101 Tully Rd Ste 201, Modesto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851834964
  • Provider Enumeration Date: 11/21/2016
  • Last Update Date: 12/27/2018

Medical Identifiers

Medical identifiers for Charles Preston Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851834964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 100373 (California)Secondary
1223G0001XDentist - General Practice 9142 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Preston Poole is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Preston Poole, DDS
3608 Dale Rd,
Modesto, CA 95356-0500

Ph: (209) 577-0777
Charles Preston Poole, DDS
4101 Tully Rd Ste 201,
Modesto, CA 95356-8981

Ph: (209) 577-0777

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Dentist in Modesto, CA

Bhavini Harish Shelat, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Coffee Rd, Building B, Modesto, CA 95355
Phone: 209-727-4296    
Dr. Martha L Gomez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Coffee Rd, Suite 9a, Modesto, CA 95355
Phone: 209-522-8783    Fax: 209-526-1470
Saliem Melles Tsighe, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 2200 Mchenry Ave Ste B, Modesto, CA 95350
Phone: 209-526-9132    
Dr. John R Jeppson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1429 College Ave, Suite G, Modesto, CA 95350
Phone: 209-526-0344    Fax: 209-526-0370
Dr. Samuel Ernest Bleakley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Mchenry Village Way Ste 1, Modesto, CA 95350
Phone: 209-577-1313    Fax: 209-577-8584
Efraim Sanson Florendo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Coffee Rd, Modesto, CA 95055
Phone: 209-521-0100    
Lynn Zwahlen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 E Orangeburg Ave Ste C, Modesto, CA 95350
Phone: 209-522-5761    Fax: 209-522-1051

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