IndividualActive
Charles Nuckols, D.M.D.
NPI 1245244474 · Oral and Maxillofacial Surgery (Dentist) · Bowling Green, KY
Provider details
- NPI number
- 1245244474
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 3399 (KY)
Specialties & taxonomies
Dental Providers
Allopathic & Osteopathic Physicians
Practice location
627 Eastwood Ave
Bowling Green, KY 42103-1688
Phone: (270) 843-4341
Fax: (270) 746-9551
Approximate (ZIP-level) locationGet directions
Mailing address
627 Eastwood Ave
Bowling Green, KY 42103-1688
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2008-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.