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Dr. Trace David Vancleave , DMD

Dentist • Enterprise, OR

Active NPI 1962392860 Individual Practitioner
Practice location in NPPES

603 Medical Pkwy
Enterprise, OR 978285124

Call 5414264502 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

603 Medical Pkwy

Enterprise, OR 978285124

Telephone 5414264502
Organization at the Same NPPES Address or Phone
Winding Waters Clinic Pc Facility NPI 1053304394

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Enterprise and Oregon

3 active clinicians are listed under Dentist with a practice address in Enterprise, OR (1,248 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Weston Baker , MD

Family Medicine

NPI 1023429883

Doctor of Medicine (M.D.)

April Bieber , PA-C

Physician Assistant

NPI 1215424122

Physician Assistant (Certified)

Susanne Crane , PA-C

Physician Assistant - Medical

NPI 1144535436

Physician Assistant (Certified)

Dr. Renee Grandi , MD

Family Medicine

NPI 1356334601

Doctor of Medicine (M.D.)

NPI 1699250951

Doctor of Naturopathic Medicine

Dr. Emily Knudsen , MD

Family Medicine

NPI 1750761284

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated July 03, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2025 to August 2026.

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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

Other Dentists in Enterprise

Mailing Address

501 2nd St

La Grande, OR 978501118

Phone: 5417865337

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.