Individual provider · Type 1 NPI
Tara Lynn Grzetic, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · St. Charles, IL
Practice location
2055 Foxfield Rd
St. Charles, IL 60174-1442
Mailing address
720 N Old World 3rd St Apt 807
Milwaukee, WI 53203-2245
Other practice locations
- 2050 Marquette Rd Ste 200, Peru, IL 61354-4000 · (815) 224-2355
- 4827 S Route 59 Ste 115, Naperville, IL 60564-8318 · (630) 527-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 0000011264 (TN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in St. Charles
- Scott Prose, DDS, M.S.Orthodontics and Dentofacial Orthopedics Dentistry St. Charles, IL NPI 1043353493
- John Wazio Jr., DDS, M.S.Orthodontics and Dentofacial Orthopedics Dentistry St. Charles, IL NPI 1053660035
- Daniel Martin Kelly, DMDOrthodontics and Dentofacial Orthopedics Dentistry St. Charles, IL NPI 1831470715
About NPI 1467060897
Tara Lynn Grzetic, DMD, MS's National Provider Identifier is 1467060897, issued on Jul 22, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Charles, IL. The record was last updated on Jan 11, 2023.