Glen H. Petteway, DDS
Prosthodontics · Springfield, MO
Practice location
1200 E WoodhurstSte T300
Springfield, MO 65804-3784
- Phone
- (417) 887-7114
- Fax
- (417) 887-2882
NPI record
- NPI
- 1235322108
- Entity type
- Individual (Type 1)
- Enumeration date
- August 23, 2007
- Last updated
- August 23, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthodontics Primary | 1223P0700X |
13801-00673 | MO |
About Dr. Petteway
Glen H. Petteway, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 1200 E Woodhurst, Ste T300, Springfield, MO 65804-3784. The NPI number 1235322108 was assigned on August 23, 2007 and the record was last updated on August 23, 2007.
Dr. Petteway lists a license in the registry: #13801-00673 (MO) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Glen H. Petteway, DDS?
The NPI number is 1235322108.
What is the phone number of Dr. Petteway?
The phone number listed for the practice location is (417) 887-7114.
Where is Dr. Petteway located?
1200 E Woodhurst, Ste T300, Springfield, MO 65804-3784.
What is the taxonomy code for Dr. Petteway?
The primary taxonomy code is 1223P0700X – Prosthodontics.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Prosthodontics providers in Springfield
- Robert Lee Swords, DDS618 N Benton Ave
- Glen H Petteway, D.D.S., P.C.1200 E Woodhurst Dr
- Carol Kim, D.D.S.3842 S Glenstone Ave
- Kevin D Wallace DMD, PC1200 E Woodhurst Dr
- Kevin D. Wallace, DMD PC1200 E Woodhurst Dr Ste a200