| Nuckols & Cohron, P.s.c. | |
|
627 Eastwood St Bowling Green KY 42103-1688 | |
| (270) 843-4341 | |
| (270) 746-9551 |
| Full Name | Nuckols & Cohron, P.s.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 627 Eastwood St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Charles T Nuckols (OWNER) |
| Authorized Official Contact | 2708434341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuckols & Cohron, P.s.c. 627 Eastwood St P. O. Box 70130 Bowling Green KY 42103-1688 Ph: (270) 843-4341 | Nuckols & Cohron, P.s.c. 627 Eastwood St Bowling Green KY 42103-1688 Ph: (270) 843-4341 |
| NPI Number | 1477707784 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477707784 | NPI | - | NPPES |
| 1069982 | Other | KY | PASSPORT HEALTH |
| 64033996 | Medicaid | KY | |
| 6389 | Other | KY | DORAL |
| 000000212083 | Other | KY | ANTHEM BCBS |
| 60033990 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3399 (Kentucky) | Primary |
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Crosswinds Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Ashley St, Suite B, Bowling Green, KY 42103 Phone: 270-783-3177 Fax: 270-783-3090 | |
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Hartland Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 Ashley St, Suite A, Bowling Green, KY 42103 Phone: 270-793-0703 Fax: 270-793-0740 | |
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