Tina Gregorash
Individual provider Active NPI General Practice Dentistry · Brook, IN
NPI 1497600274 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1497600274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0730163516 (IN)
- Practice address
- 300 S Canal St
Brook, IN 47922-8855 - Phone
- (765) 248-1280
- NPI assigned
- Feb 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0730163516 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0730163516 | IN | Yes |
Addresses
Primary practice location
300 S Canal St
Brook, IN 47922-8855
Mailing address
300 S Canal St
Brook, IN 47922-8855
Phone (765) 248-1280
Other providers in Brook, IN
- Board of Commissioners of Newton County
- Franciscan Health Rensselaer, Inc.
- Jasper County Hospital
- Sarah Jo Myers
- Marianne Nelson
- Kathy Frances Tebo
All providers in Brook, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.