Tara Layne Willoughby, DDS
Dentist in Port Saint Lucie, FL. Individual provider (NPI-1).
NPI number1699334656
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1699334656
- Entity type
- Individual (NPI-1)
- Name
- Tara Layne Willoughby
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2019
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN24652 | FL | Yes |
| 122300000X | Dentist | 2019019153 | MO |
Other names
- Tara Humble (Former Name)
Practice location
421 Sw Bethany DrPort Saint Lucie, FL 34986-2136
Phone 772-340-0805
Mailing address
421 Sw Bethany DrPort St Lucie, FL 34986-2136
Phone 723-400-8087
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Port Saint Lucie, FL
- Boulevard Dental AssociatesNPI 1508116781
- Jaroslaw Cegielski, D.M.D.NPI 1215046446
- Cynthia Corletto Rivera, DMDNPI 1528804374
- Ahmed Daashoush, DMDNPI 1659001493
- Johnny Flores, DDSNPI 1437621588
- Francy J Arciniegas Dmd Psl PANPI 1093678237
- Gentle Breeze DentalNPI 1952745408
- Happy Smiles Of Port Saint LucieNPI 1962862805
- Charlotte HaughtNPI 1477112704
- Owayne Haughton, D.M.DNPI 1831982941
All 20 Dentist providers in Port Saint Lucie · All 2,132 providers in Port Saint Lucie
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.