DREW T NUCKOLLS DDS
NPI 1568957629
Dentist in Wichita, KS

Q: What is Drew Nuckolls's NPI number?

The NPI number for Drew Nuckolls is 1568957629. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Q: What is Drew Nuckolls's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Drew Nuckolls was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 29, 2018

3417 S MERIDIAN AVE, WICHITA, KS 67217(316) 866-2000(316) 977-9312 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Drew T Nuckolls Dds NPPES

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

DREW T NUCKOLLS DDS (NPI 1568957629) is an individual dentist in Wichita, Kansas, licensed in Kansas (61441) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1568957629

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDREW T NUCKOLLSCredential: DDS

Location Address3417 S MERIDIAN AVEWichita, KS 67217-2151

Mailing Address1122 N Topeka StWichita, KS 67214-2810 · (316) 866-2000 · Fax (316) 866-2083

Phone(316) 866-2000

Fax(316) 977-9312

Sole ProprietorNo

Enumeration DateJune 29, 2018

✔ NPI 1568957629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KS · 61441

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3417 S MERIDIAN AVE, Wichita, KS 67217

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

CHAMIL FERNANDO

Physician Assistant (Medical)