Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912329830 Individual Practitioner Male Practitioner

Dr. Glen O. Petta , DDS

Dentist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Glen Petta, DDS is a registered healthcare professional specializing in Dentist in Fort Worth, TX. Practice services are available at 3201 PRESTON HOLLOW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3201 Preston Hollow Rd

Fort Worth, TX 761092052

Telephone 8173129273

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
157 Specialists

Practicing in Fort Worth, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 12754

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2014

Registered at 3201 PRESTON HOLLOW RD, FORT WORTH, TX 761092052 (Tel: 8173129273)

📍
Updated Business Mailing Address January 12, 2014

Registered at 3201 PRESTON HOLLOW RD, FORT WORTH, TX 761092052 (Tel: 8173129273)

👤
Provider Name / Credentials Updated January 12, 2014

Recorded as GLEN PETTA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2014

Dentist (License #12754 in TX)

🟢
Initial NPI Registration & Enumeration January 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912329830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2014
Last Update: January 12, 2014
Sole Proprietor: Yes

Mailing Address

3201 Preston Hollow Rd

Fort Worth, TX 761092052

Phone: 8173129273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.