Organization
GENE R. GLOVER, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE R. GLOVER DDS (PRESIDENT)
(252) 243-3223
Entity
Organization
Contact information
Practice address
1706 MEDICAL PARK DR W, WILSON, NC 27893-2705
(252) 243-3223
(252) 243-3668
Mailing address
1706 MEDICAL PARK DR W, WILSON, NC 27893-2705
(252) 243-3223
(252) 243-3668
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01497002
UNITED CONCORDIA GROUP NO
NC
01
—
014UU
BCBS GROUP NUMBER
NC
01
—
539583
UNITED CONCORDIA NUMBER
NC
05
—
89014UU
—
NC
05
—
8993231
—
NC
01
—
93231
BCBS PROVIDER NUMBER
NC
Enumeration date
05/17/2007
Last updated
08/22/2020
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