Individual
THOMAS A NUCKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 SW 1ST ST, PLAINVILLE, KS 67663-2231
(785) 434-4565
(785) 688-4105
Mailing address
310 SW 1ST ST, PLAINVILLE, KS 67663-0057
(785) 434-4565
(785) 688-4105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5689
KS
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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