Individual provider · Type 1 NPI

Brandon Tobias Wallace, DMD

General Practice Dentistry · Cincinnati, OH

NPI number 1093569204 Active

Practice location

4605 E Galbraith Rd Ste 100
Cincinnati, OH 45236-2888

Call (513) 961-1991 Map

Mailing address

345 Harrison Ave Ph 19
Boston, MA 02118-4095

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X30.027636 (OH)

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 1093569204

Brandon Tobias Wallace, DMD's National Provider Identifier is 1093569204, issued on Apr 15, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 1, 2025.