# NUCKOLS & COHRON, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477707784
- **Authorized official:** DR. CHARLES T NUCKOLS DMD (OWNER)
- **Authorized official phone:** (270) 843-4341

## Contact information

- **Practice address:** 627 EASTWOOD ST, BOWLING GREEN, KY 42103-1688
- **Practice address phone:** (270) 843-4341
- **Practice address fax:** (270) 746-9551
- **Mailing address:** 627 EASTWOOD ST, P. O. BOX 70130, BOWLING GREEN, KY 42103-1688
- **Mailing address phone:** (270) 843-4341
- **Mailing address fax:** (270) 746-9551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3399 | KY | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008