Mattlage, Glenn Taylor

Mattlage, Glenn Taylor is an sole proprietor health care provider with primary practice located at 4415 66Th St Suite 112, Lubbock TX 79414-4809. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mattlage, Glenn Taylor can be contacted via phone (806) 797-1275.

Contact Information

Primary practice address
4415 66Th St Suite 112 Lubbock TX 79414-4809
Phone: (806) 797-1275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DD1382 New Mexico
Dental Providers / Periodontics 1223P0300X 12592 Texas

Profile Details

NPI number 1184603243
LBN Legal business name Mattlage, Glenn Taylor
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Aug 26th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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