Misty Gail Gretencord in Lafayette - Dentist
Misty Gail Gretencord - NPI 1659565299
Misty Gail Gretencord is a Dentist in Lafayette, Indiana. Misty Gail Gretencord practices all healthcare services and medical treatments related to Dentist. The NPI Number for Misty Gail Gretencord is 1659565299. The last update date is 2011-10-20.
Misty Gail Gretencord's current location address is 4315 Commerce Dr Ste 310, Lafayette, Indiana. You can contact this provider via phone number 7655880220. The mailing address for Misty Gail Gretencord is 4315 Commerce Dr Ste 310, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Gail Gretencord |
|---|---|
| Address | 4315 Commerce Dr Ste 310, Lafayette, Indiana |
| Phone Number | 7655880220 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1659565299 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2011-10-20 |
Provider Mailing Address Detail
| Address | 4315 Commerce Dr Ste 310 |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479053824 |
| Phone Number | 7655880220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25549 |
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Definition: 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: denti |
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What is the Misty Gail Gretencord's 1659565299?
The Misty Gail Gretencord's NPI (National Provider Identifier) Number is 1659565299. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Misty Gail Gretencord located?
The Misty Gail Gretencord is located at 4315 Commerce Dr Ste 310, Lafayette, IN 479053824.
What is Misty Gail Gretencord's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Misty Gail Gretencord is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659565299 to Misty Gail Gretencord?
The Misty Gail Gretencord received its 1659565299 assignment from the Centers for Medicare & Medicaid Services on 2007-08-28.
As of what date was the information pertaining to Misty Gail Gretencord, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Misty Gail Gretencord, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-20.
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