Dr. Glenn Joseph Makowski, MD DMD
Dentist, Oral and Maxillofacial Surgery in Keller, TX. Individual provider (NPI-1).
NPI number1275592701
StatusActive
Last updated in NPPESJul 26, 2007
Details
- NPI
- 1275592701
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn Joseph Makowski
- Credential
- MD DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2006
- Last updated
- Jul 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 22601 | TX | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 3376 | AR | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 22DI02030800 | NJ | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 60 | AR | |
| 204E00000X | Oral & Maxillofacial Surgery | K8654 | TX | |
| 204E00000X | Oral & Maxillofacial Surgery | E3009 | AR |
Practice location
4224 Heritage Trace PkwySuite 304
Keller, TX 76248-1378
Phone 817-741-2200 · Fax 817-741-2216
Mailing address
2125 Rim Rock DrKeller, TX 76248-5627
Phone 817-741-2200 · Fax 817-741-2216
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