Stacey Tatro, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12013335A Issued in IN

Practice address

1123 Joliet St
Dyer, IN 46311-1926

Phone

(219) 225-2294

NPI assigned

Jul 11, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Annette Williamson DDS, P.C.

  • General Practice Dentistry
  • Crown Point, IN
  • NPI 1477703817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1225480544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111926",
            "telephone_number": "219-225-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111926",
            "telephone_number": "219-225-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11043 Broadway Ste A",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078834",
            "country_code": "US",
            "telephone_number": "219-663-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 West D.L. Ingram Ave.",
            "address_2": "Bldg 1408",
            "address_purpose": "LOCATION",
            "city": "Cannon AFB",
            "state": "NM",
            "postal_code": "88103",
            "country_code": "US",
            "telephone_number": "575-784-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Boatner Road",
            "address_2": "Bldg 2751",
            "address_purpose": "LOCATION",
            "city": "Elgin AFB",
            "state": "FL",
            "postal_code": "32542",
            "country_code": "US",
            "telephone_number": "708-228-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATRO",
        "first_name": "STACEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "091.030688",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013335A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vincent Tallarico, M.D.
• Victoria Paige Talley, OTR
• Seth A Tambrini, DDS
• Lady Margarette Tan, APN
• Mitchell Tannenbaum, PT
• Amanda Lee Tecson, DNP
• Michelle Terwilliger, NP
• The Center for Implants, Sedation and Cosmetic Dentistry
• The Wellness Lab LLC
• The Wellness Lab LLC

• Dentist in Dyer, IN
• Providers in Dyer, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.