Cherren Glover

Individual provider Active NPI Dental Hygienist · Brookhaven, PA

NPI 1619678232 · NPPES record last updated Mar 10, 2023

Key facts

NPI
1619678232
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
DH075073 (PA)
Practice address
4 W Brookhaven Rd
Brookhaven, PA 19015-1629
Phone
(610) 872-7200
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DH075073PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Dental Center Inc Past
since Mar 12, 2023
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cherren.glover.p1@direct.projecthome.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH075073 PA Yes

Addresses

Primary practice location

4 W Brookhaven Rd
Brookhaven, PA 19015-1629

Mailing address

7511 Chelwynde Ave
Philadelphia, PA 19153-1806
Phone (267) 349-6285

Other providers in Brookhaven, PA

All providers in Brookhaven, PA · Dental Hygienist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.