Search › Missouri › 1223P0700X
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