OrganizationActive
Tracie L. Vestal DDS PA
NPI 1508039405 · Dental Clinic/Center · Elizabethtown, NC
Tracie L. Vestal DDS PA is a Dental Clinic/Center organization in Elizabethtown, NC (NPI 1508039405).
Provider details
- NPI number
- 1508039405
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracie Vestal, Owner(910) 862-4078
- License
- 7200 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 W Broad St
Elizabethtown, NC 28337-9411
Phone: (910) 862-4078
Street-level locationGet directions
Mailing address
500 W Broad St
Elizabethtown, NC 28337-9411
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2023-03-07
Frequently asked questions
- What is Tracie L. Vestal DDS PA's NPI number?
- Tracie L. Vestal DDS PA's National Provider Identifier (NPI) is 1508039405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tracie L. Vestal DDS PA?
- Tracie L. Vestal DDS PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tracie L. Vestal DDS PA located?
- Tracie L. Vestal DDS PA's practice location on file with NPPES is 500 W Broad St, Elizabethtown, NC 28337-9411.
- What is Tracie L. Vestal DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Tracie L. Vestal DDS PA is (910) 862-4078.
- Who is the authorized official for Tracie L. Vestal DDS PA?
- The authorized official listed on Tracie L. Vestal DDS PA's NPPES record is Tracie Vestal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tracie L. Vestal DDS PA's NPI active?
- Yes — Tracie L. Vestal DDS PA's NPI (1508039405) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.