Dr. Tracie Leigh Vestal is a Elizabethtown, North Carolina based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Tracie Leigh Vestal is 7200 for General Practice Dentistry in North Carolina. Her current practice location is 500 W Broad St, Elizabethtown. Patients can reach her at 910-862-4078.
Dr. Tracie Leigh Vestal is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Tracie Leigh Vestal speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Tracie Leigh Vestal
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
500 W Broad St, Elizabethtown, North Carolina, 28337-9411
Phone:
910-862-4078
Fax:
910-862-4078
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1346304250
NPI Enumeration Date:
22 Dec, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tracie Leigh Vestal are as mentioned below.
License Number
Specialization
State
Status
7200
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Tracie Leigh Vestal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
871334
Other
North Carolina
UNITED CONCORDIA
902-EC
Other
North Carolina
BCBS ID#
01-0570076
Other
North Carolina
FEDERAL TAX ID #
7200
Other
North Carolina
STATE DENTAL LICENSE #
89902EC
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
500 W Broad St, Elizabethtown, North Carolina
Zip:
28337-9411
Phone Number:
910-862-4078
Fax Number:
910-862-4078
Patients can reach Dr. Tracie Leigh Vestal at 500 W Broad St, Elizabethtown, North Carolina or can call to book an appointment on 910-862-4078. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.