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Dr. Charles Thomas Nuckols, DMD
Oral & Maxillofacial Surgery (D.M.D.) in Bowling Green, Kentucky
NPI 1245244474

Charles Thomas Nuckols is a Oral & Maxillofacial Surgery (D.M.D.) based in Bowling Green, KY. Charles Thomas Nuckols practices in Bowling Green, KY and has the professional credentials of DMD. The NPI Number for Charles Thomas Nuckols is 1245244474 and holds a License No. 3399 (Kentucky).

The current practice location address for Charles Thomas Nuckols is 627 Eastwood Ave, Bowling Green, KY and can be reached out via phone at 270-843-4341 and via fax at 270-746-9551.

Location: 627 Eastwood Ave, Bowling Green, KY, 42103-1688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245244474
Provider Name
Charles Thomas Nuckols
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
627 Eastwood Ave, Bowling Green, KY, 42103-1688
Phone Number
270-843-4341
Fax Number
270-746-9551
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000212083 01 KY ANTHEM PROVIDER ID
6389 01 KY DORAL DENTAL ID
1115671 01 KY PASSPORT GROUP PIN
60033990 05 KY
64033996 05 KY
1069982 01 KY PASSPORT HEALTH ID PIN
institution
Provider Business Practice Location Address Details
Address
627 Eastwood Ave
City
Bowling Green
State
Kentucky
Zip
42103-1688
Phone Number
270-843-4341
Fax Number
270-746-9551
person
Provider Business Mailing Address Details
Address
627 Eastwood Ave
City
Bowling Green
State
Kentucky
Zip
42103-1688
Phone Number
270-843-4341
Fax Number
270-746-9551
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
3399 (Kentucky)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
3399 (Kentucky)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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