DR. TARA LYNN GRZETIC DMD, MS
NPI 1467060897
Dentist - Orthodontics and Dentofacial Orthopedics in St Charles, IL

Active since July 22, 2020
2055 FOXFIELD RD, ST CHARLES, IL 60174(630) 584-6555 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Jul 22, 2020 (2 updates tracked since 2020).

About Dr. Tara Lynn Grzetic Dmd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TARA LYNN GRZETIC DMD, MS (NPI 1467060897) is an individual orthodontics and dentofacial orthopedics provider in St Charles, Illinois, licensed in Tennessee (0000011264) and active in the NPI registry since July 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467060897
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. TARA LYNN GRZETICCredential: DMD, MS
Location Address2055 FOXFIELD RDSt Charles, IL 60174-1442
Mailing Address720 N Old World 3rd St Apt 807Milwaukee, WI 53203-2245 · (630) 715-3377
Sole ProprietorNo
Enumeration DateJuly 22, 2020
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1467060897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TN · 0000011264
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2055 FOXFIELD RD, St Charles, IL 60174

Secondary Practice Locations 2

Location 12050 Marquette Rd Ste 200Peru, IL 61354-4000 · Phone (815) 224-2355
Location 24827 S Route 59 Ste 115Naperville, IL 60564-8318 · Phone (630) 527-6000

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
2055 FOXFIELD RD
ST CHARLES, IL 60174
Dentist (Orthodontics and Dentofacial Orthopedics)
2055 FOXFIELD RD
ST CHARLES, IL 60174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Grzetic's NPI number?

The NPI number for Tara Grzetic is 1467060897. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Tara Grzetic located?

Tara Grzetic practices at 2055 Foxfield Rd, St Charles, IL 60174. The listed phone number is (630) 584-6555.

What is Tara Grzetic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Tara Grzetic accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Tara Grzetic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Grzetic was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.