Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA LYNN GRZETIC, DMD, MS
ActiveDR. TARA LYNN GRZETIC, DMD, MS is a Orthodontics healthcare provider located in ST CHARLES, Illinois. NPI 1467060897 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ST CHARLES, IL
Registration Details
- NPI Number
- 1467060897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2020 (6.0223144030179 yrs)
- Last Updated
- Jan 11, 2023
- License
-
0000011264 (TN)
Practice Information
- Address
-
2055 FOXFIELD RDST CHARLES, IL, 601741442Browse IL providers · Browse ZIP 60174
- Phone
- 6305846555
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in ST CHARLES, IL
| Name | Credential | NPI |
|---|---|---|
| SCOTT PROSE | D.D.S., M.S. | 1043353493 |
| DR. DANIEL MARTIN KELLY | D.M.D. | 1831470715 |
| DR. JOHN WAZIO JR. | D.D.S., M.S. | 1053660035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.