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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.