Individual provider · Type 1 NPI
Glenn Taylor Mattlage, DDS
Periodontics · Lubbock, TX
NPI number
1184603243
Active
Practice location
4415 66th St, Suite 112
Lubbock, TX 79414-4809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DD1382 (NM) |
| Periodontics | 1223P0300X | 12592 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
Other periodontics providers in Lubbock
About NPI 1184603243
Glenn Taylor Mattlage, DDS's National Provider Identifier is 1184603243, issued on Jan 17, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lubbock, TX. The record was last updated on Aug 26, 2014.