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

Dr. Brandon Tobias Wallace, DMD

Individual provider General Practice Dentistry · NPI 1093569204

Dr. Brandon Tobias Wallace, DMD is a General Practice Dentistry in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
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

4605 E Galbraith Rd Ste 100
Cincinnati, OH 45236-2888
Phone: (513) 961-1991
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30.027636 (OH)

Record details

NPI number1093569204
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

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