DR. Glenn Taylor Mattlage, DDS is a periodontics dentist in Lubbock, TX. The provider is 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. DR. Glenn Taylor Mattlage, DDS NPI is 1184603243. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4415 66TH ST
SUITE 112
LUBBOCK, TX
ZIP 79414-809
Phone: (806) 797-1275
The NPI 1184603243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 1/17/2006 and was last updated on 8/26/2014.