Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093883936 Individual Practitioner Male Practitioner

Dr. Wallace Edward Brunson , DDS

Dentist - General Practice • Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Brunson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Houston, TX. Practice services are available at 1314 CHARDONNAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1314 Chardonnay Dr

Houston, TX 770773102

Telephone 5056909881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
1389 Specialists

Practicing in Houston, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM NM1827

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2015

Registered at 1314 CHARDONNAY DR, HOUSTON, TX 770773102 (Tel: 5056909881)

📍
Updated Business Mailing Address September 04, 2015

Registered at 1314 CHARDONNAY DR, HOUSTON, TX 770773102 (Tel: 5056909881)

👤
Provider Name / Credentials Updated September 04, 2015

Recorded as WALLACE BRUNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2015

Dentist (License #NM1827 in NM)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093883936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: September 04, 2015
Sole Proprietor: Yes

Mailing Address

1314 Chardonnay Dr

Houston, TX 770773102

Phone: 5056909881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.