TRACE DAVID VANCLEAVE DMD
NPI 1962392860
Dentist in Enterprise, OR

Q: What is Trace Vancleave's NPI number?

The NPI number for Trace Vancleave is 1962392860. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Q: What is Trace Vancleave's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Trace Vancleave was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2025

603 MEDICAL PKWY, ENTERPRISE, OR 97828(541) 426-4502 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Trace David Vancleave Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACE DAVID VANCLEAVE DMD (NPI 1962392860) is an individual dentist in Enterprise, Oregon, licensed in Oregon (D12212) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1962392860

Entity TypeIndividual

Primary Taxonomy122300000X

Provider Legal NameTRACE DAVID VANCLEAVECredential: DMD

Location Address603 MEDICAL PKWYEnterprise, OR 97828-5124

Mailing Address501 2nd StLa Grande, OR 97850-1118 · (541) 786-5337

Phone(541) 426-4502

Sole ProprietorNo

Enumeration DateJuly 3, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1962392860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D12212

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

603 MEDICAL PKWY, Enterprise, OR 97828

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon, Dominion National, Humana.Insurance ›

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