Organization
TRACIE L. VESTAL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE LEIGH VESTAL DDS (OWNER)
(910) 862-4078
Entity
Organization
Contact information
Practice address
500 W BROAD ST, ELIZABETHTOWN, NC 28337-9411
(910) 862-4078
Mailing address
500 W BROAD ST, ELIZABETHTOWN, NC 28337-9411
(910) 862-4078
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7200
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7200
NC LICENSE
NC
05
—
89902EC
—
NC
01
—
902EC
BCBS PROVIDER #
NC
Enumeration date
04/11/2008
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us