Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962392860 Individual Practitioner

Dr. Trace David Vancleave , DMD

Dentist • Enterprise, OR

Professional Overview & Biography Verified Profile Summary

Dr. Trace Vancleave, DMD is a registered healthcare professional specializing in Dentist in Enterprise, OR. Practice services are available at 603 MEDICAL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

603 Medical Pkwy

Enterprise, OR 978285124

Telephone 5414264502
Associated Practice Facility / Clinic
🏢 Winding Waters Clinic Pc Facility NPI 1053304394

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Enterprise, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Enterprise, OR (1289 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D12212

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelsey Stowell , LMT

Massage Therapist

NPI 1013451046

Licensed Massage Therapist

Stefanie Cedarbrook

Social Worker

NPI 1013637586
Randi Movich , RN

Registered Nurse

NPI 1013866581

Registered Nurse

Dr. Weston Baker , MD

Family Medicine

NPI 1023429883

Doctor of Medicine (M.D.)

Nora Stangel

Registered Nurse

NPI 1033038880
Kelly Fuller , RDH

Dental Hygienist

NPI 1104696152

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2025

Registered at 603 MEDICAL PKWY, ENTERPRISE, OR 978285124 (Tel: 5414264502)

📍
Updated Business Mailing Address July 03, 2025

Registered at 501 2ND ST, LA GRANDE, OR 978501118 (Tel: 5417865337)

👤
Provider Name / Credentials Updated July 03, 2025

Recorded as TRACE VANCLEAVE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2025

Dentist (License #D12212 in OR)

🟢
Initial NPI Registration & Enumeration July 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962392860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2025
Last Update: July 03, 2025
Sole Proprietor: No

Mailing Address

501 2nd St

La Grande, OR 978501118

Phone: 5417865337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.