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

Trace David Vancleave, DMD

Individual provider Dentist · NPI 1962392860

Trace David Vancleave, DMD is a Dentist in Enterprise, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone: (541) 426-4502
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12212 (OR)

Record details

NPI number1962392860
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJune 27, 2025
Mailing address501 2nd St, La Grande, OR 97850-1118

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