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DR. WALLACE EDWARD BRUNSON JR. DDS
NPI 1093883936
Dentist - General Practice in Houston, TX

Active since November 30, 2006
1314 CHARDONNAY DR, HOUSTON, TX 77077(505) 690-9881 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wallace Edward Brunson Jr. Dds NPPES

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

DR. WALLACE EDWARD BRUNSON JR. DDS (NPI 1093883936) is an individual general practice provider in Houston, Texas, licensed in New Mexico (NM1827) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1093883936
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WALLACE EDWARD BRUNSON JR.Credential: DDS
Location Address1314 CHARDONNAY DRHouston, TX 77077-3102
Mailing Address1314 Chardonnay DrHouston, TX 77077-3102 · (505) 690-9881
Phone(505) 690-9881
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateSeptember 4, 2015
✔ NPI 1093883936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · NM1827
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.
1314 CHARDONNAY DR, Houston, TX 77077
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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 Wallace Brunson's NPI number?

The NPI number for Wallace Brunson is 1093883936. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Wallace Brunson located?

Wallace Brunson practices at 1314 Chardonnay Dr, Houston, TX 77077. The listed phone number is (505) 690-9881.

What is Wallace Brunson's specialty?

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

When was this NPI record last updated?

The NPPES record for Wallace Brunson was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.