Misty Gail Gretencord, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011005A Issued in IN

Practice address

4315 Commerce Dr Ste 310
Lafayette, IN 47905-3824

Phone

(765) 588-0220

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1659565299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HASP WAY",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 COMMERCE DR STE 310",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479053824",
            "telephone_number": "765-588-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETENCORD",
        "first_name": "MISTY",
        "middle_name": "GAIL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25549",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011005A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Sue Green-Smith, LCSW
• Adriana Green, FNP-BC
• Kelli Ann Greene, MSW, LCSW
• Linda C Gregor, PT
• Beth Gretencord, CPSP
• Emma Greves, RBT
• Karla Grewe, CST, CFA
• Kathryn N. Grieser, LMFT
• Alisa Griffin
• Carl D Griffin, MD

• General Practice Dentistry in Lafayette, IN
• Providers in Lafayette, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.