Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen H Petteway, DDS, PC

Organization Prosthodontics · NPI 1356700181

Glen H Petteway, DDS, PC is a Prosthodontics in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1200 E Woodhurst Dr Bld T Ste 300
Springfield, MO 65804-4261
Phone: (417) 887-7114
Fax: (417) 887-2882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 13801 (MO)

Record details

NPI number1356700181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Petteway — Owner · (417) 887-7114
NPI enumeratedFebruary 22, 2016
Last updated in NPPESFebruary 22, 2016
Mailing address1200 E Woodhurst Dr, Bld T, Suite 300, Springfield, MO 65804-4261

Other providers in Springfield