DR. TRACIE LEIGH VESTAL DDS
NPI 1346304250
Dentist - General Practice in Elizabethtown, NC

Q: What is Tracie Vestal's NPI number?

The NPI number for Tracie Vestal is 1346304250. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Tracie Vestal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tracie Vestal was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2006

500 W BROAD ST, ELIZABETHTOWN, NC 28337(910) 862-4078(910) 862-4078 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tracie Leigh Vestal Dds NPPES

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

DR. TRACIE LEIGH VESTAL DDS (NPI 1346304250) is an individual general practice provider in Elizabethtown, North Carolina, licensed in North Carolina (7200) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1346304250

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TRACIE LEIGH VESTALCredential: DDS

Location Address500 W BROAD STElizabethtown, NC 28337-9411

Mailing Address500 W Broad StElizabethtown, NC 28337-9411 · (910) 862-4078 · Fax (910) 862-4078

Phone(910) 862-4078

Fax(910) 862-4078

Sole ProprietorNo

Enumeration DateDecember 22, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1346304250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 7200

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

500 W BROAD ST, Elizabethtown, NC 28337

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Other Identifiers 5

Other871334NC · United Concordia

Other902-ECNC · Bcbs Id#

Other01-0570076NC · Federal Tax Id #

Other7200NC · State Dental License #

Medicaid89902ECNC

Other Providers at the Same Location NPPES

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

TRACIE L. VESTAL DDS PA

Clinic/Center (Dental)

500 W BROAD ST
ELIZABETHTOWN, NC 28337

Bladen County (910) 862-4078

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 Tracie Vestal's NPI number?

The NPI number for Tracie Vestal is 1346304250. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Tracie Vestal located?

Tracie Vestal practices at 500 W Broad St, Elizabethtown, NC 28337. The listed phone number is (910) 862-4078.

What is Tracie Vestal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tracie Vestal was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.