Provider Demographics
NPI:1215626866
Name:GLOVER, ALAN COLE (DMD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:COLE
Last Name:GLOVER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 WAKE FOREST RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6398
Mailing Address - Country:US
Mailing Address - Phone:919-876-2464
Mailing Address - Fax:919-876-1409
Practice Address - Street 1:4106 WAKE FOREST RD STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6397
Practice Address - Country:US
Practice Address - Phone:919-876-2464
Practice Address - Fax:919-876-1409
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC142011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice