Individual provider · Type 1 NPI
Misty Gail Gretencord, D.D.S
General Practice Dentistry · Lafayette, IN
NPI number
1659565299
Active
Practice location
4315 Commerce Dr Ste 310
Lafayette, IN 47905-3824
Mailing address
1300 Hasp Way
Lafayette, IN 47905-8520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 25549 (TX) |
| General Practice Dentistry Primary | 1223G0001X | 12011005A (IN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1659565299
Misty Gail Gretencord, D.D.S's National Provider Identifier is 1659565299, issued on Aug 28, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lafayette, IN. The record was last updated on Mar 30, 2026.