WALLACE FAMILY DENTISTRY LLC
NPI 1649132192
Dentist - General Practice in Cincinnati, OH

Active since December 02, 2025
5258 MONTGOMERY RD, CINCINNATI, OH 45212(513) 531-2338(513) 841-5545 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wallace Family Dentistry Llc NPPES

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

WALLACE FAMILY DENTISTRY LLC (NPI 1649132192) is a healthcare organization registered as a general practice in Cincinnati, Ohio and active in the NPI registry since December 2025. The organization lists Jared R Graham, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1649132192
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWALLACE FAMILY DENTISTRY LLC
Location Address5258 MONTGOMERY RDCincinnati, OH 45212-1648
Mailing Address5258 Montgomery RdCincinnati, OH 45212-1648 · (513) 531-2338 · Fax (513) 841-5545
Fax(513) 841-5545
Organization SubpartNo
Authorized OfficialJared R GrahamManaging Member · (513) 531-2338
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1649132192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

5258 MONTGOMERY RD, Cincinnati, OH 45212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
5258 MONTGOMERY RD
NORWOOD, OH 45212
Dentist (General Practice)
5258 MONTGOMERY RD
NORWOOD, OH 45212

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 Family Dentistry LLC's NPI number?

The NPI number for Wallace Family Dentistry LLC is 1649132192. It was assigned to this organization in the NPPES registry on December 2, 2025.

Where is Wallace Family Dentistry LLC located?

Wallace Family Dentistry LLC is located at 5258 Montgomery Rd, Cincinnati, OH 45212. The listed phone number is (513) 531-2338.

What is Wallace Family Dentistry LLC'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 Family Dentistry LLC was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.