Individual provider · Type 1 NPI

Trace David Vancleave, DMD

Dentist · Enterprise, OR

NPI number 1962392860 Active

Practice location

603 Medical Pkwy
Enterprise, OR 97828-5124

Mailing address

501 2nd St
La Grande, OR 97850-1118

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD12212 (OR)

Dentist: 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 requiremen…

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About NPI 1962392860

Trace David Vancleave, DMD's National Provider Identifier is 1962392860, issued on Jul 3, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Enterprise, OR. The record was last updated on Jul 3, 2025.