Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487546305 Individual Practitioner Male Practitioner

Dr. Bradley Wallace , DMD

Dentist - General Practice • Sandy, UT

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Wallace, DMD is a registered healthcare professional specializing in Dentist - General Practice in Sandy, UT. Practice services are available at 853 E 9400 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

853 E 9400 S

Sandy, UT 840943655

Telephone 8015725550
Associated Practice Facility / Clinic
🏢 Elevate Dental Partners Facility NPI 1750151718

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
33 Specialists

Practicing in Sandy, UT (1388 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

CMS Verified: 2025-07-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 14228509-9926

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.

Secondary Practice Locations

6065 S Fashion Blvd Ste 275

Murray, UT 841075441

Phone: 4628801262

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Daniel Masson , DDS

Dentist - General Practice

NPI 1699902106

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2025

Registered at 853 E 9400 S, SANDY, UT 840943655 (Tel: 8015725550)

📍
Updated Business Mailing Address July 16, 2025

Registered at 5327 W CANARY GRASS WAY, SOUTH JORDAN, UT 840091399 (Tel: 8016628371)

👤
Provider Name / Credentials Updated July 16, 2025

Recorded as BRADLEY WALLACE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2025

Dentist (License #14228509-9926 in UT)

🟢
Initial NPI Registration & Enumeration July 16, 2025

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: 1487546305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2025
Last Update: July 16, 2025
Sole Proprietor: Yes

Mailing Address

5327 W Canary Grass Way

South Jordan, UT 840091399

Phone: 8016628371

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.