Provider Demographics
NPI:1558574533
Name:HOOK, CHARLES R (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:R
Last Name:HOOK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:750 DRAGOON DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3023
Mailing Address - Country:US
Mailing Address - Phone:843-881-1471
Mailing Address - Fax:
Practice Address - Street 1:COLLEGE OF DENTAL MEDICINE, MUSC BSB 341
Practice Address - Street 2:173 ASHLEY AVENUE
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425
Practice Address - Country:US
Practice Address - Phone:843-792-3811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC1748122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist