DR. BRIAN WALLACE DMD
NPI 1093866121
Dentist - General Practice in Prestonsburg, KY

Active since January 16, 2007
781 S LAKE DR, SUITE 1, PRESTONSBURG, KY 41653(606) 886-2676(606) 886-2741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Wallace Dmd NPPES

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

DR. BRIAN WALLACE DMD (NPI 1093866121) is an individual general practice provider in Prestonsburg, Kentucky, licensed in Kentucky (7008) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1093866121
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN WALLACECredential: DMD
Location Address781 S LAKE DR, SUITE 1Prestonsburg, KY 41653-1340
Mailing Address3900 Ky Route 1750East Point, KY 41216-8824
Fax(606) 886-2741
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093866121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 7008
Definition
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.
781 S LAKE DR, Prestonsburg, KY 41653

Other Identifiers 1

Medicaid60070083KY

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
781 S LAKE DR, SUITE 1
PRESTONSBURG, KY 41653
Dentist (General Practice)
781 S LAKE DR, SUITE 1
PRESTONSBURG, KY 41653

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 Brian Wallace's NPI number?

The NPI number for Brian Wallace is 1093866121. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Brian Wallace located?

Brian Wallace practices at 781 S Lake Dr Suite 1, Prestonsburg, KY 41653. The listed phone number is (606) 886-2676.

What is Brian Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Brian Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 8 other insurers list Brian Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.