1. Home
  2. Directory
  3. North Carolina
  4. Elizabethtown
  5. Clinic Center
  6. NPI Profile

TRACIE L. VESTAL DDS PA
NPI 1508039405
Clinic/Center - Dental in Elizabethtown, NC

Active since April 11, 2008
500 W BROAD ST, ELIZABETHTOWN, NC 28337(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.

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 1508039405) is a healthcare organization registered as a dental in Elizabethtown, 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

NPI1508039405
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTRACIE L. VESTAL DDS PA
Location Address500 W BROAD STElizabethtown, NC 28337-9411
Mailing Address500 W Broad StElizabethtown, NC 28337-9411 · (910) 862-4078
Phone(910) 862-4078
Organization SubpartNo
Authorized OfficialTracie Leigh VestalOwner · (910) 862-4078
Enumeration DateApril 11, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1508039405 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
500 W BROAD ST, Elizabethtown, NC 28337
Open in Google Maps ↗

Other Identifiers 3

Other7200NC · Nc License
Other902ECNC · Bcbs Provider #
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.

DR. TRACIE LEIGH VESTAL DDS
Dentist (General Practice)
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 L. Vestal Dds PA's NPI number?

The NPI number for Tracie L. Vestal Dds PA is 1508039405. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Tracie L. Vestal Dds PA located?

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

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 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.