Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charity J.e. Vanderwall-Lacey, DMD

Individual provider Dentist · NPI 1679923080

Dr. Charity J.e. Vanderwall-Lacey, DMD is a Dentist in Jacksonville, North Carolina. Works from 2 locations. Licensed in District of Columbia and North Carolina.

Licensed in
DC, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

123 Cobia Ct
Jacksonville, NC 28546-6862
Phone: (910) 347-1211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5225 Wisconsin Ave Nw, Washington, DC 20015-2014 — (202) 966-0620

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10800 (NC)
Dentist Taxonomy 122300000X · Licence DEN1001627 (DC)

Record details

NPI number1679923080
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESJuly 21, 2022

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