Individual provider · Type 1 NPI

Trace Allen Bennett, DDS

General Practice Dentistry · Bastrop, LA

NPI number 1073408613 Active

Practice location

314 N Franklin St
Bastrop, LA 71220-3846

Call (318) 281-6167 Map

Fax (318) 281-6161

Mailing address

PO Box 792
Bastrop, LA 71221-0792

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7702 (LA)

General Practice Dentistry: 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.

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About NPI 1073408613

Trace Allen Bennett, DDS's National Provider Identifier is 1073408613, issued on Jun 12, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bastrop, LA. The record was last updated on Oct 9, 2025.