Tara Willoughby, DDS
NPI 1699334656 · on the registry since 2019
Practice
- Address
- 421 Sw Bethany Dr
Port Saint Lucie, FL 34986 - Phone
- (772) 340-0805
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- FL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-27
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida