Individual provider · Type 1 NPI
Bradley Wallace, DMD
General Practice Dentistry · Sandy, UT
NPI number
1487546305
Active
Practice location
853 E 9400 S
Sandy, UT 84094-3655
Mailing address
5327 W Canary Grass Way
South Jordan, UT 84009-1399
Other practice locations
- 6065 S Fashion Blvd Ste 275, Murray, UT 84107-5441 · (462) 880-1262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 14228509-9926 (UT) |
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.
Another provider at this address
Other general practice dentistry providers in Sandy
- Jaleena Ann Jessop, D.D.SGeneral Practice Dentistry Sandy, UT NPI 1033281027
- David H. Webb, DDSGeneral Practice Dentistry Sandy, UT NPI 1033326129
- Christina Sue Knutson, DDSGeneral Practice Dentistry Sandy, UT NPI 1033849120
- Michelle L. Taylor, DDSGeneral Practice Dentistry Sandy, UT NPI 1215948393
- Daniel R. Dowdle, D.M.DGeneral Practice Dentistry Sandy, UT NPI 1215954128
- Randall Kay Johnson, DDSGeneral Practice Dentistry Sandy, UT NPI 1225279995
- Dan E. Fischer, D.D.SGeneral Practice Dentistry Sandy, UT NPI 1346312345
- Alexa Noelle McAneney, DMDGeneral Practice Dentistry Sandy, UT NPI 1366060907
About NPI 1487546305
Bradley Wallace, DMD's National Provider Identifier is 1487546305, issued on Jul 16, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sandy, UT. The record was last updated on Jul 16, 2025.