Individual provider · Type 1 NPI

Glen H. Petteway, DDS

Prosthodontics · Springfield, MO

NPI number 1235322108 Active

Practice location

1200 E Woodhurst, Ste T300
Springfield, MO 65804-3784

Fax (417) 887-2882

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X13801-00673 (MO)

Prosthodontics: 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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About NPI 1235322108

Glen H. Petteway, DDS's National Provider Identifier is 1235322108, issued on Aug 23, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Springfield, MO. The record was last updated on Aug 23, 2007.