DR. D.M.D. Charles Thomas Nuckols, NPI 1245244474
Oral and Maxillofacial Surgery (Dentist) in Bowling Green, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245244474
NPI Entity Type Individual
Provider Name DR. D.M.D. Charles Thomas Nuckols
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 627 Eastwood Ave, Bowling Green, KY, US
Provider Mailing Address 627 Eastwood Ave, Bowling Green, KY, US, 421031688
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

1223S0112X

Taxonomy Name Oral and Maxillofacial Surgery (Dentist)
Classification

Dentist

Group

Dental Providers

License No. 3399
License State KY
Description The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Business Address

DR. D.M.D. Charles Thomas Nuckols
627 Eastwood Ave

Bowling Green, KY, US

Phone: 270-843-4341
Fax: 270-746-9551

Mailing Address

DR. D.M.D. Charles Thomas Nuckols
627 Eastwood Ave
Bowling Green, KY, US
ZIP 421031688
Phone: 270-843-4341
Fax: 270-746-9551

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

204E00000X

Allopathic & Osteopathic Physicians

Oral & Maxillofacial Surgery

3399 KY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000212083 KY ANTHEM PROVIDER ID 01
6389 KY DORAL DENTAL ID 01
1115671 KY PASSPORT GROUP PIN 01
60033990 KY MEDICAID 05
64033996 KY MEDICAID 05
1069982 KY PASSPORT HEALTH ID PIN 01

Other Providers in KY, US

NPI Name Taxonomy Address

1568107415

MRS. OTR/L Sarah Elizabeth Seigh

Individual

Occupational Therapist

310b S Keeneland Dr

Richmond, KY

1144868498

DOULA Loran Marie Bernert

Individual

Doula

801 Barret Ave Ste 301

Louisville, KY

1932526654

Lab One Of Ohio Inc

Organization

Clinical Medical Laboratory

98 Post Office Drive

Clay City, KY

1023457884

Lab One Of Ohio Inc

Organization

Clinical Medical Laboratory

2161 Lexington Rd

Suite 5

Richmond, KY

1841795689

MD Max Andrew Triantafillou

Individual

Internal Medicine Physician

900 S Limestone Ctw 304

Lexington, KY

1861078685

Lake Cumberland Regional Hospital Llc

Organization

Internal Medicine Physician

110 Hardin Ln Ste 9

Somerset, KY

1447330451

Lake Cumberland Regional Hospital, Llc

Organization

Internal Medicine Physician

350 Hospital Way

Suite 100

Somerset, KY

1093092744

Lake Cumberland Regional Hospital Llc

Organization

Family Nurse Practitioner

353 Bogle St

Suite A

Somerset, KY

1023155462

Lake Cumberland Regional Hospital Llc

Organization

Rural Health Clinic/Center

305 Langdon St

Somerset, KY

1306561766

Sierra Rader

Individual

Occupational Therapist

116 Meridian Way Ste 8

Richmond, KY

1194440552

APRN Chelsey Sievert

Individual

Nurse Practitioner

122 Langley Dr

Nicholasville, KY

1598480949

APRN Mary Mitchell

Individual

Emergency Registered Nurse

1850 Bluegrass Ave

Louisville, KY

1740927599

Goben Family Care Llc

Organization

Family Nurse Practitioner

7139 State Route 56 E

Sebree, KY

1912352030

M.D. Michael Crum

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1760914139

Sarah L Young

Individual

Clinical Social Worker

601 Lincoln Park Rd

Springfield, KY

1154589968

D.O. William B Webb

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1194204156

PA-C Brittney R. Judhan

Individual

Physician Assistant

911 Bypass Rd Bldg A

Pikeville, KY

1952385882

MD Brett E Jarrell

Individual

Emergency Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

1730622317

APRN Danny Brent Newsome

Individual

Family Nurse Practitioner

911 Bypass Rd Bldg A

Pikeville, KY

1093744807

DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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