Bradley Wallace, DMD

NPI #1487546305 in Sandy, Utah

Provider Information

NPI Number: 1487546305
Entity Type: Individual
Name: Bradley Wallace, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 16, 2025
Last Updated: Jul 16, 2025

Practice Location

Address: 853 E 9400 S
City: Sandy
State: Utah
ZIP Code: 84094-3655
Phone: (801) 572-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

Additional Practice Locations

6065 S Fashion Blvd Ste 275

Murray, UT, 84107-5441

(462) 880-1262

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