NUCKOLS & COHRON P.S.C. NPI 1477707784

NPI Information

  • NPI: 1477707784
  • Provider Name: NUCKOLS & COHRON, P.S.C.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 627 EASTWOOD ST
    BOWLING GREEN, KY
    ZIP 42103
  • Phone: (270) 843-4341

Map and Directions

Get Directions

NPI Details

NUCKOLS & COHRON, P.S.C. is an oral and maxillofacial surgery dentist in Bowling Green, KY. The provider is 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. NUCKOLS & COHRON, P.S.C. NPI is 1477707784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

627 EASTWOOD ST
BOWLING GREEN, KY
ZIP 42103-688
Phone: (270) 843-4341
Fax: (270) 746-9551

The provider's authorized official is Charles T Nuckols .
The authorized official title is Owner and has the following contact phone number (270) 843-4341.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 11/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery3399KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
164033996MEDICAIDKENTUCKY
21049801MEDICARE PINKENTUCKY
3000000212083OTHERKENTUCKYANTHEM BCBS
4T53968MEDICARE UPIN
560033990MEDICAIDKENTUCKY
66389OTHERKENTUCKYDORAL
71069982OTHERKENTUCKYPASSPORT HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI