Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN H PETTEWAY, D.D.S., P.C.
Active OrganizationGLEN H PETTEWAY, D.D.S., P.C. is a Pediatric Dentistry organization located in SPRINGFIELD, Missouri. NPI 1356700181 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1356700181
- Provider Type
- Organization
- NPI Issued
- Feb 22, 2016 (10.484601916143 yrs)
- Last Updated
- Feb 22, 2016
- License
-
13801 (MO)
Practice Information
- Address
-
1200 E WOODHURST DRBLD T, SUITE 300SPRINGFIELD, MO, 658044261Browse MO providers · Browse ZIP 65804
- Phone
- 4178877114
- Fax
- 4178872882
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Organizations in SPRINGFIELD, MO
| Name | NPI |
|---|---|
| KEVIN D WALLACE DMD, PC | 1841404019 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.