| Trace David Vancleave, DMD | |
|
603 Medical Pkwy, Enterprise, OR 97828-5124 | |
| (541) 426-4502 | |
| Not Available |
| Full Name | Trace David Vancleave |
|---|---|
| Gender | |
| Speciality | Dentist |
| Location | 603 Medical Pkwy, Enterprise, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962392860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12212 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Trace David Vancleave, DMD 501 2nd St, La Grande, OR 97850-1118 Ph: (541) 786-5337 | Trace David Vancleave, DMD 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (541) 426-4502 |
Ronald Duy Le, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 503-998-6598 | |
Dr. Joseph Raymond Pierri, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4502 | |
Gary Raymond Underhill, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 S River St, Enterprise, OR 97828 Phone: 541-426-3783 Fax: 541-426-0205 | |
Dr. Tyler Boone Schaffeld, DMD Dentist Medicare: Medicare Enrolled Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-3783 | |
Dr. Jason Adam Follett, DMD Dentist Medicare: Medicare Enrolled Practice Location: 204 Residence St, Enterprise, OR 97828 Phone: 541-426-3531 Fax: 541-426-8411 |