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

Dr. Brandon Lee Greenwalt, DMD

Individual provider Dentist · NPI 1194087742

Dr. Brandon Lee Greenwalt, DMD is a Dentist in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

410 NE Waldo Rd
Gainesville, FL 32641-5685
Phone: (352) 375-3790
Fax: (352) 375-3791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN 19737 (FL)

Record details

NPI number1194087742
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 11, 2012
Last updated in NPPESOctober 29, 2013

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