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Dr. Tracie Leigh Vestal, DDS
General Practice Dentistry in Elizabethtown, North Carolina
NPI 1346304250

Tracie Leigh Vestal is a General Practice Dentistry based in Elizabethtown, NC and is specialized in General Practice. Tracie Leigh Vestal practices in Elizabethtown, NC and has the professional credentials of DDS. The NPI Number for Tracie Leigh Vestal is 1346304250 and holds a License No. 7200 (North Carolina).

The current practice location address for Tracie Leigh Vestal is 500 W Broad St, Elizabethtown, NC and can be reached out via phone at 910-862-4078 and via fax at 910-862-4078.

Location: 500 W Broad St, Elizabethtown, NC, 28337-9411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346304250
Provider Name
Tracie Leigh Vestal
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
500 W Broad St, Elizabethtown, NC, 28337-9411
Phone Number
910-862-4078
Fax Number
910-862-4078
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
871334 01 NC UNITED CONCORDIA
902-EC 01 NC BCBS ID#
01-0570076 01 NC FEDERAL TAX ID #
7200 01 NC STATE DENTAL LICENSE #
89902EC 05 NC
institution
Provider Business Practice Location Address Details
Address
500 W Broad St
City
Elizabethtown
State
North Carolina
Zip
28337-9411
Phone Number
910-862-4078
Fax Number
910-862-4078
person
Provider Business Mailing Address Details
Address
500 W Broad St
City
Elizabethtown
State
North Carolina
Zip
28337-9411
Phone Number
910-862-4078
Fax Number
910-862-4078
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7200 (North Carolina)
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.
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