Glen H Petteway, D.D.S., P.C.
NPI 1356700181ActiveOrganization· Dentist, Prosthodontics· Springfield, MO
Dentist, Prosthodontics in Springfield, Missouri, registered in NPPES in February 2016. The authorized official on file is Glen H. Petteway, D.D.S., Owner.
Overview
| NPI | 1356700181 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2016 |
| Last updated in NPPES | Feb 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 13801 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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