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DR. GLEN O. PETTA DDS
NPI 1912329830
Dentist in Fort Worth, TX

Active since January 12, 2014
3201 PRESTON HOLLOW RD, FORT WORTH, TX 76109(817) 312-9273 Get Directions Write a Review

NPPES record last updated: January 12, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Glen O. Petta Dds NPPES

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

DR. GLEN O. PETTA DDS (NPI 1912329830) is an individual dentist in Fort Worth, Texas, licensed in Texas (12754) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1912329830
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GLEN O. PETTACredential: DDS
Location Address3201 PRESTON HOLLOW RDFort Worth, TX 76109-2052
Mailing Address3201 Preston Hollow RdFort Worth, TX 76109-2052 · (817) 312-9273
Phone(817) 312-9273
Sole ProprietorYes
Enumeration DateJanuary 12, 2014
✔ NPI 1912329830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 12754
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3201 PRESTON HOLLOW RD, Fort Worth, TX 76109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Petta's NPI number?

The NPI number for Glen Petta is 1912329830. It was assigned to this individual provider in the NPPES registry on January 12, 2014.

Where is Glen Petta located?

Glen Petta practices at 3201 Preston Hollow Rd, Fort Worth, TX 76109. The listed phone number is (817) 312-9273.

What is Glen Petta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Glen Petta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Glen Petta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Petta was last updated on January 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.