Tracie W. Legette, DDS, MPH, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRACIE W. LEGETTE, DDS, MPH, PLLC

Doing business as

College Lakes Family Dentistry

Practice address

4823 Rosehill Rd
Fayetteville, NC 28311-6938

Phone

(910) 482-4442

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tracie Williams-Legette, DDS, MPHNPI 1699710855

Title

Dentist

Phone

(910) 482-4442

Specialties & licenses 1

Addresses

Other names 1

• College Lakes Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Williams-Legette, DDS

  • Dentist
  • Fayetteville, NC
  • NPI 1699710855
  NPD (past) Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1942472907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283020610",
            "telephone_number": "910-482-4442",
            "fax_number": "910-482-4446"
        },
        {
            "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": {
        "organization_name": "TRACIE W. LEGETTE, DDS, MPH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-LEGETTE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-482-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Lakes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Towns
• Sierra Kay Towns
• Andrew D Townsend
• Emily Lopes Townsend, PA-C
• Jeneen Yvette Townsend, LPC-A
• Tracy Dowd Matney DDS PA
• Kent C Trader, MSW, PLCSW
• Lauren Tramonte
• Clare Minh Tran Burnett, LCMHC-A
• Lan P Tran-Phu, M.D

• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.