Doctor profile · Federal record
Dr. Tara Willoughby, DDS
Dentist · Dentist · Port Saint Lucie, FL
- NPI 1699334656
- 7 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
421 Sw Bethany Dr
Port Saint Lucie, FL 349862136
(772) 340-0805
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- December 27, 2023
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Florida #DN24652 · Missouri #2019019153
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699334656. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$285
Transactions
14
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 12 | $185.82 | |
| Straumann USA LLC | 2 | $99.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
43
Patients
36
Total drug cost
$142
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 43 | 36 | $142 |
Frequently asked questions
What is Dr. Tara Willoughby's medical specialty?
Dr. Tara Willoughby practices Dentist in Port Saint Lucie, FL.
Where does Dr. Tara Willoughby practice?
Dr. Tara Willoughby practices at 421 Sw Bethany Dr, Port Saint Lucie, FL 349862136. Office phone: 7723400805.
What is Dr. Tara Willoughby's NPI?
Dr. Tara Willoughby's National Provider Identifier (NPI) is 1699334656, issued by NPPES.