DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY GAIL GRETENCORD, D.D.S

Active Sole Proprietor

MISTY GAIL GRETENCORD, D.D.S is a Dentist healthcare provider located in LAFAYETTE, Indiana. NPI 1659565299 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAFAYETTE, IN

Registration Details

NPI Number
1659565299
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2007 (18.932834914589 yrs)
Last Updated
Oct 20, 2011
Licenses
25549 (TX)
12011005A (IN)
Sole Proprietor
Yes

Practice Information

Address
4315 COMMERCE DR STE 310
LAFAYETTE, IN, 479053824
Browse IN providers · Browse ZIP 47905
Phone
7655880220
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in LAFAYETTE, IN

Name Credential NPI
DR. DAVID DETTERLINE DDS 1558586040
MICHELLE MIGNON LECKLITNER DDS 1295951754
DR. COLLEEN BAINES DDS 1609093988
MICHAEL SCHROEDER DDS 1790980357
J ALAN HERSHEY D.D.S 1679729750
DR. RONALD NORMAN HINKEL DDS 1780830893
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.