Question 1

What type of a medical provider is Glenn Taylor Mattlage?

Accepted Answer

Glenn Taylor Mattlage is a Dentist (Periodontics).

Question 2

Where does Glenn Taylor Mattlage practice medicine?

Accepted Answer

Glenn Taylor Mattlage has the following practice address:4415 66TH ST, LUBBOCK, TX 79414-4809

Question 3

Does this provider have a license number?

Accepted Answer

Glenn Taylor Mattlage has 2 license numbers, including: License Number 12592 issued in Texas.

Question 4

Does Glenn Taylor Mattlage accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Glenn Taylor Mattlage have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Glenn Taylor Mattlage a member of any Medical Groups?

Accepted Answer

Glenn Taylor Mattlage is not affiliated with any medical groups.

Question 7

Does Glenn Taylor Mattlage participate in PECOS?

Accepted Answer

Yes, Glenn Taylor Mattlage participates in PECOS.

Question 8

What phone number can I call to contact Glenn Taylor Mattlage?

Accepted Answer

You can call the following number: (806)-797-1275

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Glenn Taylor Mattlage.

Question 10

Is Glenn Taylor Mattlage  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 11 years ago (8/26/2014).

Taxonomy	State	Primary?
Dentist (Periodontics) - Taxonomy Code 1223P0300X	NM	Y
Dentist (Periodontics) - Taxonomy Code 1223P0300X	TX	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	-

Glenn Taylor Mattlage

Overview