Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Layne Willoughby, DDS

Individual provider Dentist · NPI 1699334656

Tara Layne Willoughby, DDS is a Dentist in Port Saint Lucie, Florida. Licensed in Florida and Missouri. Registered with an NPI since 2019.

Licensed in
FL, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

421 SW Bethany Dr
Port Saint Lucie, FL 34986-2136
Phone: (772) 340-0805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN24652 (FL)
Dentist Taxonomy 122300000X · Licence 2019019153 (MO)

Record details

NPI number1699334656
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address421 Sw Bethany Dr, Port St Lucie, FL 34986-2136

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