Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851834964 Individual Practitioner Male Practitioner

Dr. Charles Preston Poole , DDS

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Poole, DDS is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 4101 TULLY RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4101 Tully Rd Ste 201

Modesto, CA 953568981

Telephone 2095770777
Fax 2095723845
Associated Practice Facility / Clinic
🏢 Rickey & Wong, D.d.s., Inc. Facility NPI 1235551342

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 9142

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 100373

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1083984942

Doctor of Dental Surgery

NPI 1164190591
NPI 1215207733

Doctor of Dental Surgery

Dr. Mina Arbabaraghi , DMD

Dentist - General Practice

NPI 1265923049

Doctor of Dental Medicine

NPI 1376901371

Doctor of Dental Medicine

Dr. Grant Rickey , DDS

Dentist - General Practice

NPI 1861588410

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated December 27, 2018

Recorded as CHARLES POOLE, DDS

NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2016

Registered at 4101 TULLY RD STE 201, MODESTO, CA 953568981 (Tel: 2095770777)

📍
Updated Business Mailing Address November 22, 2016

Registered at 3608 DALE RD, MODESTO, CA 953560500 (Tel: 2095770777)

👤
Provider Name / Credentials Updated November 22, 2016

Recorded as CHARLES PAYNE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Dentist (License #100373 in CA)

🟢
Initial NPI Registration & Enumeration November 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851834964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2016
Last Update: December 27, 2018
Sole Proprietor: No

Mailing Address

3608 Dale Rd

Modesto, CA 953560500

Phone: 2095770777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.