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DR. TRACE ALLEN BENNETT DDS
NPI 1073408613
Dentist - General Practice in Bastrop, LA

Active since June 12, 2025PECOS Enrolled
314 N FRANKLIN ST, BASTROP, LA 71220(318) 281-6167(318) 281-6161 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About Dr. Trace Allen Bennett Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACE ALLEN BENNETT DDS (NPI 1073408613) is an individual general practice provider in Bastrop, Louisiana, licensed in Louisiana (7702) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Dentistry (2025).

NPPES Registry Identity

NPI1073408613
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRACE ALLEN BENNETTCredential: DDS
Location Address314 N FRANKLIN STBastrop, LA 71220-3846
Mailing AddressPo Box 792Bastrop, LA 71221-0792 · (318) 281-6167 · Fax (318) 281-6161
Phone(318) 281-6167
Fax(318) 281-6161
Sole ProprietorNo
Medical School CMSWest Virginia University School Of DentistryGraduated 2025
Enumeration DateJune 12, 2025
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1073408613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 7702
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
314 N FRANKLIN ST, Bastrop, LA 71220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trace Allen Bennett Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971091802
PECOS Enrollment IDI20251022005071
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMER SHIPLEY PHARMD
Pharmacist
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 283-8887
WILLIAM KIRK JOHNSON FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 283-8887
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Pharmacy
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 239-8045
MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.
Family Medicine
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 283-8887
DR. SHAHZAD M. MALIK M.D.
Pediatrics
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 283-8887
MRS. ELIZABETH ANN HOSKINS APRN
Nurse Practitioner (Family)
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 283-8887
CHRISTOPHER JAMES CLARK DO
Family Medicine
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 283-8887
STEWART GRANT MCKNIGHT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
314 N FRANKLIN ST
BASTROP, LA 71220
Morehouse Parish (318) 523-4091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trace Bennett's NPI number?

The NPI number for Trace Bennett is 1073408613. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Trace Bennett located?

Trace Bennett practices at 314 N Franklin St, Bastrop, LA 71220. The listed phone number is (318) 281-6167.

What is Trace Bennett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Trace Bennett enrolled in Medicare?

Yes. Trace Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trace Bennett was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.