Dr. Charles Thomas Nuckols
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
627 Eastwood Ave
Bowling Green
, Kentucky 42103-1688
Dr. Charles Thomas Nuckols
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
627 Eastwood Ave
Bowling Green
, Kentucky 42103-1688
(270) 746-9551
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles Thomas Nuckols
- 627 Eastwood Ave
- Bowling Green, KY
- Zip : 42103-1688
- Fax : (270) 746-9551
- Phone : (270) 843-4341
Second Address
- Dr. Charles Thomas Nuckols
- 627 Eastwood Ave
- Bowling Green, KY
- Zip : 42103-1688
- Fax : (270) 746-9551
- Phone : (270) 843-4341
Reviews
FAQs
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Is Dr. Charles Thomas Nuckols a sole practitioner?
Is Dr. Charles Thomas Nuckols accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 3399 | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 3399 | KY |
National Provider Identifier
| NPI | 1245244474 |
|---|---|
| Provider Name | Dr. Charles Thomas Nuckols |
| First Address | Bowling Green, KY 42103-1688 |
| Second Address | Bowling Green, KY 42103-1688 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 10/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000212083 | ANTHEM PROVIDER ID (01) | KY |
| 1069982 | PASSPORT HEALTH ID PIN (01) | KY |
| 1115671 | PASSPORT GROUP PIN (01) | KY |
| 60033990 | (05) | KY |
| 6389 | DORAL DENTAL ID (01) | KY |
| 64033996 | (05) | KY |
| T53968 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.