Tara Layne Willoughby is a Port Saint Lucie, Florida based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tara Layne Willoughby is
DN24652 for Dentistry in Florida. Her current practice location is
421 Sw Bethany Dr, Port Saint Lucie. Patients can reach her at
772-340-0805.
Tara Layne Willoughby is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Tara Layne Willoughby speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Tara Layne Willoughby |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 421 Sw Bethany Dr, Port Saint Lucie,
Florida, 34986-2136 |
| Phone: | 772-340-0805 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699334656 |
| NPI Enumeration Date: | 12 Jun, 2019 |
| NPI Last Update On: | 27 Dec, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Layne Willoughby are as mentioned below.
| License Number | Specialization | State | Status | |
| DN24652 | Dentistry | Florida | Primary | |
| 2019019153 | Dentistry | Missouri | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 421 Sw Bethany Dr,
Port St Lucie, Florida |
| Zip: | 34986-2136 |
| Phone Number: | 723-400-8087 |
Patients can reach Tara Layne Willoughby at
421 Sw Bethany Dr, Port Saint Lucie, Florida or can
call to book an appointment on 772-340-0805.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.