DR. GLENN JOSEPH MAKOWSKI MD DMD NPI 1275592701

NPI Information

  • NPI: 1275592701
  • Provider Name: DR. GLENN JOSEPH MAKOWSKI, MD DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4224 HERITAGE TRACE PKWY
    SUITE 304
    KELLER, TX
    ZIP 76248
  • Phone: (817) 741-2200

Map and Directions

Get Directions

NPI Details

DR. Glenn Joseph Makowski, MD DMD is an oral and maxillofacial surgery dentist in Keller, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Glenn Joseph Makowski, MD DMD NPI is 1275592701. 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:

4224 HERITAGE TRACE PKWY
SUITE 304
KELLER, TX
ZIP 76248-378
Phone: (817) 741-2200
Fax: (817) 741-2216

The NPI 1275592701 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), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 7/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery3376ARKANSASNo
21223S0112XDentistOral and Maxillofacial Surgery22DI02030800NEW JERSEYNo
31223S0112XDentistOral and Maxillofacial Surgery60ARKANSASNo
4204E00000XOral & Maxillofacial SurgeryK8654TEXASNo
5204E00000XOral & Maxillofacial SurgeryE3009ARKANSASNo
61223S0112XDentistOral and Maxillofacial Surgery22601TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15M080MEDICARE ID-TYPE UNSPECIFIED
2H60323MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI