Individual provider · Type 1 NPI

Tara Layne Willoughby, DDS

Dentist · Port St. Lucie, FL

NPI number 1699334656 Active

Practice location

421 SW Bethany Dr
Port St. Lucie, FL 34986-2136

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN24652 (FL)
Dentist 122300000X2019019153 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1699334656

Tara Layne Willoughby, DDS's National Provider Identifier is 1699334656, issued on Jun 12, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 27, 2023.