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

Dr. Glen H Petteway, DDS

Individual provider Prosthodontics · NPI 1235322108

Dr. Glen H Petteway, DDS is a Prosthodontics in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1200 E Woodhurst Ste T300
Springfield, MO 65804-3784
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 13801-00673 (MO)

Record details

NPI number1235322108
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 23, 2007
Mailing address1200 E Woodhurst, Ste T300, Springfield, MO 65804-3784

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