TRACE LANIER LYNN D.D.S.
NPI 1265668974
Dentist in Sulphur, LA

Active since June 09, 2009Opted out of Medicare · through May 9, 2028
3107 MAPLEWOOD DR, SULPHUR, LA 70663(337) 625-9911(337) 625-9912 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trace Lanier Lynn D.d.s. NPPES

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

TRACE LANIER LYNN D.D.S. (NPI 1265668974) is an individual dentist in Sulphur, Louisiana, licensed in Louisiana (LA5970) and active in the NPI registry since June 2009. He has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265668974
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTRACE LANIER LYNNCredential: D.D.S.
Location Address3107 MAPLEWOOD DRSulphur, LA 70663-6201
Mailing Address3107 Maplewood DrSulphur, LA 70663-6201 · (337) 625-9911 · Fax (337) 625-9912
Fax(337) 625-9912
Sole ProprietorYes
Enumeration DateJune 9, 2009
Last NPPES UpdateNovember 11, 2015
NPI 1265668974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in LA · LA5970
Definition
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.
3107 MAPLEWOOD DR, Sulphur, LA 70663

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Trace Lanier Lynn D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2016 through May 9, 2028.

Opt-Out Effective DateMay 9, 2016
Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70663 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 3

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

Dentist (General Practice)
3107 MAPLEWOOD DR
SULPHUR, LA 70663
Dentist
3107 MAPLEWOOD DR
SULPHUR, LA 70663
Dentist (General Practice)
3107 MAPLEWOOD DR
SULPHUR, LA 70663

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 Lynn's NPI number?

The NPI number for Trace Lynn is 1265668974. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Trace Lynn located?

Trace Lynn practices at 3107 Maplewood Dr, Sulphur, LA 70663. The listed phone number is (337) 625-9911.

What is Trace Lynn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Trace Lynn enrolled in Medicare?

No. Trace Lynn has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Trace Lynn was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.