P Praxis·MD
● Active Type 1 · Individual

DR. Glenn Taylor Mattlage, DDS

Dentist·Lubbock, TX· NPI 1184603243 · Enumerated 2006 · 20 years on NPI
Mattlage is 1 of 6 dentist providers in Lubbock and 1 of 625 in Texas.
NPI age
20 years
Enumerated 2006-01-17
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
NM, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-08-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 625 active dentist providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
4415 66th St, Suite 112
Lubbock, TX 794144809
📞 8067971275
Mailing address
4415 66th St, Suite 112
Lubbock, TX 794144809
📞 8067971275

Specialties

  • Dentist Primary
    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...
    NM license #DD1382TX license #12592 taxonomy 1223P0300X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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