DR. TRACIE LEIGH VESTAL DDS NPI 1346304250

NPI Information

  • NPI: 1346304250
  • Provider Name: DR. TRACIE LEIGH VESTAL, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 500 W BROAD ST
    ELIZABETHTOWN, NC
    ZIP 28337
  • Phone: (910) 862-4078

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NPI Details

DR. Tracie Leigh Vestal, DDS is a general practice dentist in Elizabethtown, NC. The provider is 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. DR. Tracie Leigh Vestal, DDS NPI is 1346304250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 W BROAD ST
ELIZABETHTOWN, NC
ZIP 28337-411
Phone: (910) 862-4078
Fax: (910) 862-4078

The enumeration date for this NPI number is 12/22/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7200NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1871334OTHERNORTH CAROLINAUNITED CONCORDIA
2902-ECOTHERNORTH CAROLINABCBS ID#
301-0570076OTHERNORTH CAROLINAFEDERAL TAX ID #
47200OTHERNORTH CAROLINASTATE DENTAL LICENSE #
589902ECMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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