TRACIE L. VESTAL, DDS, PA
NPI 1356515639
Clinic/Center - Dental in Leland, NC

Active since April 17, 2008
1014B GRANDIFLORA DR, LELAND, NC 28451(910) 371-5965 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracie L. Vestal, Dds, Pa NPPES

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

TRACIE L. VESTAL, DDS, PA (NPI 1356515639) is a healthcare organization registered as a dental in Leland, North Carolina and active in the NPI registry since April 2008. The organization lists Tracie Leigh Vestal, Owner, as its authorized official.

NPPES Registry Identity

NPI1356515639
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTRACIE L. VESTAL, DDS, PA
Location Address1014B GRANDIFLORA DRLeland, NC 28451-7454
Mailing Address1014b Grandiflora DrLeland, NC 28451-7454 · (910) 371-5965
Organization SubpartNo
Authorized OfficialTracie Leigh VestalOwner · (910) 371-5965
Enumeration DateApril 17, 2008
Last NPPES UpdateMarch 7, 2023
NPI 1356515639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NC · 7200
1014B GRANDIFLORA DR, Leland, NC 28451

Other Identifiers 3

Other7200NC · Dental License #
Other902ECNC · Bcbs #
Medicaid89902ECNC

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 L. Vestal, Dds, PA's NPI number?

The NPI number for Tracie L. Vestal, Dds, PA is 1356515639. It was assigned to this organization in the NPPES registry on April 17, 2008.

Where is Tracie L. Vestal, Dds, PA located?

Tracie L. Vestal, Dds, PA is located at 1014B Grandiflora Dr, Leland, NC 28451. The listed phone number is (910) 371-5965.

What is Tracie L. Vestal, Dds, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tracie L. Vestal, Dds, PA was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.