| Thomas A Nuckols Dds Pa | |
|
310 Sw First Plainville KS 67663-0057 | |
| (785) 434-4565 | |
| (785) 688-4105 |
| Full Name | Thomas A Nuckols Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Sw First, Plainville, Kansas |
| Authorized Official Name and Position | Thomas Arthur Nuckols (PRESIDENT) |
| Authorized Official Contact | 7854344565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Nuckols Dds Pa 310 Sw First Po Box 57 Plainville KS 67663-0057 Ph: (785) 434-4565 | Thomas A Nuckols Dds Pa 310 Sw First Plainville KS 67663-0057 Ph: (785) 434-4565 |
| NPI Number | 1801856000 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801856000 | NPI | - | NPPES |
| 116846 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5689 (Kansas) | Primary |