Glen Petteway, DDS

ActiveIndividual ProviderDentistry
NPI issued: August 23, 2007

Quick Facts

NPI Number
1235322108
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223P0700X — Dentistry
Phone
(417) 887-7114
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1235322108)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 23, 2007)
Data source: CMS NPPES

Provider Overview

GLEN PETTEWAY, DDS is a Dentistry provider based in Springfield, MO who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1235322108
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateAugust 23, 2007

Practice Location

CitySpringfield
StateMO
ZIP Code65804-3784
Phone(417) 887-7114

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223P0700X
License StateMO

Mailing Address

CitySpringfield
StateMO
ZIP Code65804-3784
Phone(417) 887-7114
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1235322108 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1235322108for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1235322108 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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4,366
Dentistry Providers in the US

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People Also Ask

What is Glen Petteway's NPI number?
Glen Petteway's NPI number is 1235322108, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Glen Petteway's NPI currently active?
Yes, Glen Petteway's NPI status is Active as of the latest CMS NPPES database updates.
What does Glen Petteway specialize in?
Glen Petteway specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223P0700X.
Where does Glen Petteway practice?
Glen Petteway practices in Springfield, MO 65804-3784.
When was Glen Petteway's NPI issued?
Glen Petteway's NPI was issued on August 23, 2007.
What is Glen Petteway's provider type?
Glen Petteway is registered as an Individual Provider under CMS NPI Type 1.