Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edwin Roland Bennett IV, DDS

Individual provider Dentist · NPI 1013520766

Dr. Edwin Roland Bennett IV, DDS is a Dentist in Placentia, California. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

300 E Yorba Linda Blvd Ste E
Placentia, CA 92870-2910
Phone: (714) 524-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 107244 (CA)
Dentist Taxonomy 122300000X · Licence D11299 (OR)

Record details

NPI number1013520766
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 24, 2020
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address300 E Yorba Linda Blvd Ste E, Placentia, CA 92870-2910

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