Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Wallace, DMD

Individual provider General Practice Dentistry · NPI 1487546305

Bradley Wallace, DMD is a General Practice Dentistry in Sandy, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

853 E 9400 S
Sandy, UT 84094-3655
Phone: (801) 572-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6065 S Fashion Blvd Ste 275, Murray, UT 84107-5441 — (462) 880-1262

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14228509-9926 (UT)

Record details

NPI number1487546305
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address5327 W Canary Grass Way, South Jordan, UT 84009-1399

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