Dr. Glenn Joseph Makowski
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon and 2 more
4224 Heritage Trace Pkwy Suite 304
Keller
, Texas 76248-1378
Dr. Glenn Joseph Makowski
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon and 2 more
4224 Heritage Trace Pkwy Suite 304
Keller
, Texas 76248-1378
(817) 741-2216
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Glenn Joseph Makowski
- 2125 Rim Rock Dr
- Keller, TX
- Zip : 76248-5627
- Fax : (817) 741-2216
- Phone : (817) 741-2200
Second Address
- Dr. Glenn Joseph Makowski
- 4224 Heritage Trace Pkwy Suite 304
- Keller, TX
- Zip : 76248-1378
- Fax : (817) 741-2216
- Phone : (817) 741-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 22601 | TX |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 22DI02030800 | NJ |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 3376 | AR |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 60 | AR |
| N | 204E00000X | Oral & Maxillofacial Surgeon | E3009 | AR |
| N | 204E00000X | Oral & Maxillofacial Surgeon | K8654 | TX |
National Provider Identifier
| NPI | 1275592701 |
|---|---|
| Provider Name | Dr. Glenn Joseph Makowski |
| First Address | Keller, TX 76248-5627 |
| Second Address | Keller, TX 76248-1378 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2006 |
| Last Update Date | 26/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H60323 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.