DR. GLEN H PETTEWAY DDS
NPI 1235322108
Dentist - Prosthodontics in Springfield, MO
- Individual
- Male
- Dentist
- Prosthodontics
About GLEN PETTEWAY
This page provides the complete NPI Profile along with additional information for Glen Petteway, a provider established in Springfield, Missouri with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1235322108 assigned on August 2007. The practitioner's primary taxonomy code is 1223P0700X with license number 13801-00673 (MO). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1235322108 Verify this NPI
- Provider Name
- DR. GLEN H PETTEWAY DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1200 E WOODHURST STE T300 SPRINGFIELD, MO 65804
- Location Phone
- (417) 887-7114
- Location Fax
- (417) 887-2882
- Mailing Address
- 1200 E WOODHURST STE T300 SPRINGFIELD, MO 65804
- Mailing Phone
- (417) 887-7114
- Mailing Fax
- (417) 887-2882
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-23-2007
- Last Update Date
- 08-23-2007
- Code Navigator
A dentist like Glen Petteway is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Prosthodontics
- Taxonomy Code
- 1223P0700X
- Type
- Dental Providers
- License No.
- 13801-00673
- License State
- MO
- Taxonomy Description
- That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235322108, enumerated as an "individual" on August 23, 2007.
The provider is located at 1200 E WOODHURST STE T300 SPRINGFIELD, MO 65804 and the phone number is (417) 887-7114.
Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.
