Trace David Vancleave, DMD

Dentist · Enterprise, OR

Individual Active NPI

NPI number 1962392860

Practice location

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone
(541) 426-4502

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NPI record

NPI
1962392860
Entity type
Individual (Type 1)
Enumeration date
July 3, 2025
Last updated
July 3, 2025
Certified
June 27, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D12212 OR

Mailing address

501 2ND St
La Grande, OR 97850-1118
Phone
(541) 786-5337

About Dr. Vancleave

Trace David Vancleave, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 603 Medical Pkwy, Enterprise, OR 97828-5124. The NPI number 1962392860 was assigned on July 3, 2025 and the record was last updated on July 3, 2025.

Dr. Vancleave lists a license in the registry: #D12212 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Trace David Vancleave, DMD?

The NPI number is 1962392860.

What is the phone number of Dr. Vancleave?

The phone number listed for the practice location is (541) 426-4502.

Where is Dr. Vancleave located?

603 Medical Pkwy, Enterprise, OR 97828-5124.

What is the taxonomy code for Dr. Vancleave?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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