Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN TAYLOR MATTLAGE, DDS
Active Sole ProprietorDR. GLENN TAYLOR MATTLAGE, DDS is a Periodontology healthcare provider located in LUBBOCK, Texas. NPI 1184603243 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LUBBOCK, TX
Registration Details
- NPI Number
- 1184603243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.597917325952 yrs)
- Last Updated
- Aug 26, 2014
- Licenses
-
DD1382 (NM)12592 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4415 66TH STSUITE 112LUBBOCK, TX, 794144809Browse TX providers · Browse ZIP 79414
- Phone
- 8067971275
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in LUBBOCK, TX
| Name | Credential | NPI |
|---|---|---|
| DR. LISA MCDANIEL WENTZ | D.D.S. | 1073697306 |
| CHARLES H GILLIAM | DDS | 1205972924 |
| MARCIA PHEMBA MBADU | D.M.D | 1225595416 |
| DR. MADHUMATI AKEPETRAMACHANDRAREDDY | BDS, MDS,MS | 1023853314 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.