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Dr. Glen H Petteway

Prosthodontist

1200 E Woodhurst Ste T300
Springfield , Missouri 65804-3784

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Image

Dr. Glen H Petteway

Prosthodontist

1200 E Woodhurst Ste T300
Springfield , Missouri 65804-3784

(417) 887-2882

Write a Review Save Call

Dr. Glen H Petteway

Prosthodontist

1200 E Woodhurst Ste T300
Springfield , Missouri 65804-3784

(417) 887-2882 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

1200 E Woodhurst Ste T300 Springfield , Missouri 65804-3784

First Address

  • Dr. Glen H Petteway
  • 1200 E Woodhurst Ste T300
  • Springfield, MO
  • Zip : 65804-3784
  • Fax : (417) 887-2882
  • Phone : (417) 887-7114

Second Address

  • Dr. Glen H Petteway
  • 1200 E Woodhurst Ste T300
  • Springfield, MO
  • Zip : 65804-3784
  • Fax : (417) 887-2882
  • Phone : (417) 887-7114

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FAQs


Where did Dr. Glen H Petteway attend graduate school?

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Where did Dr. Glen H Petteway do his residency?

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Where did Dr. Glen H Petteway do his fellowship?

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Is Dr. Glen H Petteway board certified?

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What type of doctor is Dr. Glen H Petteway

Prosthodontist

In what state does Dr. Glen H Petteway practice in?

Missouri

Where is Dr. Glen H Petteway ’s practice located?

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

What is Dr. Glen H Petteway ’s gender?

Male

Is Dr. Glen H Petteway a sole practitioner?

No

Is Dr. Glen H Petteway accepting new patients?

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What languages does Dr. Glen H Petteway speak?

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Does Dr. Glen H Petteway accept insurance?

Yes, Dr. Glen H Petteway accepts insurance

Does Dr. Glen H Petteway offers telemedicine?

Dr. Glen H Petteway has not indicated if he offers telemedicine

What is Dr. Glen H Petteway ’s professional license number?

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What is Dr. Glen H Petteway ’s NPI number?

1235322108

Does Dr. Glen H Petteway have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 13801-00673 MO

National Provider Identifier

NPI 1235322108
Provider Name Dr. Glen H Petteway
First Address Springfield, MO 65804-3784
Second Address Springfield, MO 65804-3784
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 23/08/2007
Last Update Date 23/08/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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