Organization · Type 2 NPI

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

Prosthodontics · Springfield, MO

NPI number 1356700181 Active

Practice location

1200 E Woodhurst Dr, Bld T, Suite 300
Springfield, MO 65804-4261

Fax (417) 887-2882

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X13801 (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 1356700181

Glen H Petteway, D.d.s., P.c.'s National Provider Identifier is 1356700181, issued on Feb 22, 2016. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Springfield, MO. The record was last updated on Feb 22, 2016.