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Search › Ohio › General Practice Dentistry

Brandon Wallace, DMD

NPI 1093569204 · on the registry since 2024

Practice

Address
4605 E Galbraith Rd Ste 100
Cincinnati, OH 45236
Phone
(513) 961-1991
Organisation at this address
Md360, Llc
Cincinnati Dental Group Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio