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

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: July 19, 2026.

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
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

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.

Clinic/Center (Dental)
500 W BROAD ST
ELIZABETHTOWN, NC 28337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346304250, enumerated as an "individual" on December 22, 2006.

The provider is located at 500 W BROAD ST ELIZABETHTOWN, NC 28337 and the phone number is (910) 862-4078.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.