SearchMissouri1223P0700X

Glen Petteway, DDS

NPI 1235322108 · on the registry since 2007 · sole proprietor

Practice

Address
1200 E Woodhurst
Ste T300
Springfield, MO 65804
Phone
(417) 887-7114
Fax
(417) 887-2882
Organisation at this address
Powell Becker & Scott Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri