What is Glen Petteway's NPI number?

Glen Petteway's National Provider Identifier (NPI) is 1235322108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Glen Petteway's specialty?

Glen Petteway is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).

Where is Glen Petteway located?

Glen Petteway's practice location on file with NPPES is 1200 E Woodhurst, Springfield, MO 65804-3784.

What is Glen Petteway's phone number?

The practice phone number listed in the NPPES registry for Glen Petteway is (417) 887-7114.

Is Glen Petteway's NPI active?

Yes — Glen Petteway's NPI (1235322108) is active in the NPPES registry as of the last update on 2007-08-23.

IndividualActive

Glen Petteway, DDS

NPI 1235322108 · Prosthodontics · Springfield, MO

Glen Petteway, DDS is a Prosthodontics provider in Springfield, MO (NPI 1235322108).

Provider details

NPI number: 1235322108
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 13801-00673 (MO)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense 13801-00673 (MO)
Dental Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1200 E Woodhurst

Ste T300

Springfield, MO 65804-3784

Phone: (417) 887-7114

Fax: (417) 887-2882

Approximate (ZIP-level) locationGet directions

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Mailing address