DR. CHARLES THOMAS NUCKOLS D.M.D.
NPI 1245244474
Dentist - Oral and Maxillofacial Surgery in Bowling Green, KY

Active since July 27, 2006
627 EASTWOOD AVE, BOWLING GREEN, KY 42103(270) 843-4341(270) 746-9551 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Thomas Nuckols D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES THOMAS NUCKOLS D.M.D. (NPI 1245244474) is an individual oral and maxillofacial surgery provider in Bowling Green, Kentucky, licensed in Kentucky (3399) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1245244474
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHARLES THOMAS NUCKOLSCredential: D.M.D.
Location Address627 EASTWOOD AVEBowling Green, KY 42103-1688
Mailing Address627 Eastwood AveBowling Green, KY 42103-1688 · (270) 843-4341 · Fax (270) 746-9551
Fax(270) 746-9551
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJanuary 10, 2008
NPI 1245244474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in KY · 3399
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 3399 (KY)
627 EASTWOOD AVE, Bowling Green, KY 42103

Other Identifiers 8

Other1115671KY · Passport Group Pin
Medicaid64033996KY
Medicaid60033990KY
Other6389KY · Doral Dental Id
Other000000212083KY · Anthem Provider Id
Other1069982KY · Passport Health Id Pin
Medicare UPINT53968KY
Medicare ID-Type Unspecified1049801KY

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
627 EASTWOOD AVE
BOWLING GREEN, KY 42103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Nuckols's NPI number?

The NPI number for Charles Nuckols is 1245244474. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Charles Nuckols located?

Charles Nuckols practices at 627 Eastwood Ave, Bowling Green, KY 42103. The listed phone number is (270) 843-4341.

What is Charles Nuckols's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Charles Nuckols accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Charles Nuckols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Nuckols was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.