BRADLEY WALLACE DMD
NPI 1487546305
Dentist - General Practice in Sandy, UT

Q: What is Bradley Wallace's NPI number?

The NPI number for Bradley Wallace is 1487546305. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Q: What is Bradley Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Wallace was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 16, 2025

853 E 9400 S, SANDY, UT 84094(801) 572-5550 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bradley Wallace Dmd NPPES

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

BRADLEY WALLACE DMD (NPI 1487546305) is an individual general practice provider in Sandy, Utah, licensed in Utah (14228509-9926) and active in the NPI registry since July 2025. He maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1487546305

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRADLEY WALLACECredential: DMD

Location Address853 E 9400 SSandy, UT 84094-3655

Mailing Address5327 W Canary Grass WaySouth Jordan, UT 84009-1399 · (801) 662-8371

Phone(801) 572-5550

Sole ProprietorYes

Enumeration DateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1487546305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 14228509-9926

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.

853 E 9400 S, Sandy, UT 84094

Open in Google Maps ↗

Secondary Practice Location 1

Location 16065 S Fashion Blvd Ste 275Murray, UT 84107-5441 · Phone (462) 880-1262

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental PPO, EMI Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

ELEVATE DENTAL PARTNERS

Dentist (General Practice)

853 E 9400 S
SANDY, UT 84094

Salt Lake County (801) 572-5550

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 Bradley Wallace's NPI number?

The NPI number for Bradley Wallace is 1487546305. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Bradley Wallace located?

Bradley Wallace practices at 853 E 9400 S, Sandy, UT 84094. The listed phone number is (801) 572-5550.

What is Bradley Wallace's specialty?

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

What insurance does Bradley Wallace accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO, EMI Health, Guardian and Humana and 1 other insurer list Bradley 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 Bradley Wallace was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.