| Dr Charles Thomas Nuckols, DMD | |
|
627 Eastwood Ave, Bowling Green, KY 42103-1688 | |
| (270) 843-4341 | |
| (270) 746-9551 |
| Full Name | Dr Charles Thomas Nuckols |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 627 Eastwood Ave, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245244474 | NPI | - | NPPES |
| 000000212083 | Other | KY | ANTHEM PROVIDER ID |
| 6389 | Other | KY | DORAL DENTAL ID |
| 1115671 | Other | KY | PASSPORT GROUP PIN |
| 60033990 | Medicaid | KY | |
| 64033996 | Medicaid | KY | |
| 1069982 | Other | KY | PASSPORT HEALTH ID PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3399 (Kentucky) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 3399 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Thomas Nuckols, DMD 627 Eastwood Ave, Bowling Green, KY 42103-1688 Ph: (270) 843-4341 | Dr Charles Thomas Nuckols, DMD 627 Eastwood Ave, Bowling Green, KY 42103-1688 Ph: (270) 843-4341 |
Dr. Michael Wayne Hubbard, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 State St, Bowling Green, KY 42101 Phone: 270-783-3573 Fax: 270-783-4081 | |
Dr. Kelli Alexander Barbee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104 Phone: 270-393-9925 Fax: 270-393-9928 | |
Kenneth Grant Bale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 Olde Towne Blvd, Bowling Green, KY 42103 Phone: 270-715-2978 Fax: 270-715-2985 | |
Leslie Ann Hazel, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1711 Destiny Ln, Ste 120, Bowling Green, KY 42104 Phone: 270-843-8738 Fax: 270-843-8738 | |
Dr. Ronald L Yaeger, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 U S 31 West By Pass, Bowling Green, KY 42101 Phone: 270-781-3610 Fax: 270-796-2932 | |
Dr. Laura Nell Lawless, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Westen St, Bowling Green, KY 42104 Phone: 270-781-1706 Fax: 270-781-2338 | |
Samantha Jo Johnson, Dentist Medicare: Medicare Enrolled Practice Location: 1938 Lyda Ave, Bowling Green, KY 42104 Phone: 270-843-5600 |