GLEN H PETTEWAY, D.D.S., P.C.
NPI 1356700181
Dentist - Prosthodontics in Springfield, MO

Active since February 22, 2016
1200 E WOODHURST DR, BLD T, SUITE 300, SPRINGFIELD, MO 65804(417) 887-7114(417) 887-2882 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glen H Petteway, D.d.s., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN H PETTEWAY, D.D.S., P.C. (NPI 1356700181) is a healthcare organization registered as a prosthodontics in Springfield, Missouri and active in the NPI registry since February 2016. The organization lists Glen H Petteway, Owner, as its authorized official.

NPPES Registry Identity

NPI1356700181
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameGLEN H PETTEWAY, D.D.S., P.C.
Location Address1200 E WOODHURST DR, BLD T, SUITE 300Springfield, MO 65804-4261
Mailing Address1200 E Woodhurst Dr, Bld T, Suite 300Springfield, MO 65804-4261 · (417) 887-7114 · Fax (417) 887-2882
Fax(417) 887-2882
Organization SubpartNo
Authorized OfficialGlen H PettewayOwner · (417) 887-7114
Enumeration DateFebruary 22, 2016
NPI 1356700181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in MO · 13801
Definition

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.

1200 E WOODHURST DR, Springfield, MO 65804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1200 E WOODHURST DR, STE H-200
SPRINGFIELD, MO 65804
Clinic/Center (Dental)
1200 E WOODHURST DR, BUILDING U
SPRINGFIELD, MO 65804
Chiropractor
1200 E WOODHURST DR, SUITE R300
SPRINGFIELD, MO 65804
Hearing Instrument Specialist
1200 E WOODHURST DR, SUITE Q BUILDING 100
SPRINGFIELD, MO 65804
Clinic/Center (Hearing and Speech)
1200 E WOODHURST DR, BUILDING Q, SUITE 100
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1200 E WOODHURST DR, STE. M300
SPRINGFIELD, MO 65804
Family Medicine
1200 E WOODHURST DR, SUITE Q-200
SPRINGFIELD, MO 65804
Acupuncturist
1200 E WOODHURST DR, R300
SPRINGFIELD, MO 65804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen H Petteway, D.D.S., P.C.'s NPI number?

The NPI number for Glen H Petteway, D.D.S., P.C. is 1356700181. It was assigned to this organization in the NPPES registry on February 22, 2016.

Where is Glen H Petteway, D.D.S., P.C. located?

Glen H Petteway, D.D.S., P.C. is located at 1200 E Woodhurst Dr Bld T, Suite 300, Springfield, MO 65804. The listed phone number is (417) 887-7114.

What is Glen H Petteway, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Glen H Petteway, D.D.S., P.C. was last updated on February 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.