Individual
DR. GLEN H PETTEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 E WOODHURST, STE T300, SPRINGFIELD, MO 65804-3784
(417) 887-7114
(417) 887-2882
Mailing address
1200 E WOODHURST, STE T300, SPRINGFIELD, MO 65804-3784
(417) 887-7114
(417) 887-2882
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
13801-00673
MO
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us