OrganizationActive
Glen H Petteway, D.D.S., P.C.
NPI 1356700181 · Prosthodontics · Springfield, MO
Provider details
- NPI number
- 1356700181
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Glen Petteway, Owner(417) 887-7114
- License
- 13801 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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 Dr
Bld T, Suite 300
Springfield, MO 65804-4261
Phone: (417) 887-7114
Fax: (417) 887-2882
Approximate (ZIP-level) locationGet directions
Mailing address
1200 E Woodhurst Dr
Springfield, MO 65804-4261
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2016-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.