Tracie Williams-Legette, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7196 Issued in NC

Practice address

4823 Rosehill Rd
Fayetteville, NC 28311-6938

Phone

(910) 482-4442

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tracie W. Legette, DDS, MPH, PLLC

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1942472907
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1699710855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283020671",
            "telephone_number": "910-644-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 ROSEHILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116938",
            "telephone_number": "910-482-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-LEGETTE",
        "first_name": "TRACIE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-9013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willa Dean McNeill
• Willa Dean McNeill Dba Joyful Living
• Krystina L Willard
• William F. Freccia, DDS, Ms, PA
• Williams & Williams Crossing LLC
• Abraonna Talia Williams
• Amaya Williams
• Andrea Denise Williams
• Angela Dugan Williams
• Angela Nicole Williams

• Dentist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.