BRADLEY WALLACE DMD
NPI 1487546305
Dentist - General Practice in Sandy, UT
NPI Status: Active since July 16, 2025
Contact Information
853 E 9400 S
SANDY, UT
ZIP 84094
Phone: (801) 572-5550
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
About BRADLEY WALLACE
This page provides the complete NPI Profile along with additional information for Bradley Wallace, a provider established in Sandy, Utah with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1487546305 assigned on July 2025. The practitioner's primary taxonomy code is 1223G0001X with license number 14228509-9926 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1487546305
- Provider Name
- BRADLEY WALLACE DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 853 E 9400 S SANDY, UT 84094
- Location Phone
- (801) 572-5550
- Mailing Address
- 5327 W CANARY GRASS WAY SOUTH JORDAN, UT 84009
- Mailing Phone
- (801) 662-8371
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-16-2025
- Last Update Date
- 07-16-2025
- Code Navigator
A dentist like Bradley Wallace is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 6065 S Fashion Blvd Ste 275
Murray, UT 84107
(462) 880-1262
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 14228509-9926
- License State
- UT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Delta Dental PPO Basic Plan for Families - PPO
- Delta Dental PPO Preferred Plan for Families - PPO
- EMI Health Choice PPO - PPO
- EMI Health Choice PPO (High) - PPO
- EMI Health EHB Pediatric Plan - Premier Network - EPO
- Guardian Choice for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487546305, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487546305, enumerated as an "individual" on July 16, 2025.
The provider is located at 853 E 9400 S SANDY, UT 84094 and the phone number is (801) 572-5550.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: BridgeSpan Health Company, Delta Dental PPO, EMI. Please consult your insurance carrier or call the provider to verify.
