Doctor profile · Federal record
Dr. Stacey Tatro, DMD
Dentist · Dentist · Crown Point, IN
- NPI 1225480544
- 10 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
11043 Broadway Ste A
Crown Point, IN 463078834
(219) 663-4200 - Additional location
-
340 Boatner Road, Bldg 2751
Elgin Afb, FL 32542
(708) 228-8056 - Additional location
-
224 West D.L. Ingram Ave., Bldg 1408
Cannon Afb, NM 88103
(575) 784-4041
Credentials & registration
- NPI registered
- July 2016 — 10 yrs on file
- Profile last updated
- December 16, 2020
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Indiana #12013335A · Illinois #091.030688
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225480544. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $14.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
47
Patients
38
Total drug cost
$158
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 27 | 20 | $46 |
| Azithromycin | Generic | 20 | 18 | $112 |
Frequently asked questions
What is Dr. Stacey Tatro's medical specialty?
Dr. Stacey Tatro practices Dentist in Crown Point, IN.
Where does Dr. Stacey Tatro practice?
Dr. Stacey Tatro practices at 11043 Broadway Ste A, Crown Point, IN 463078834. Office phone: 2196634200.
What is Dr. Stacey Tatro's NPI?
Dr. Stacey Tatro's National Provider Identifier (NPI) is 1225480544, issued by NPPES.