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Search › Utah › General Practice Dentistry

Bradley Wallace, DMD

NPI 1487546305 · on the registry since 2025 · sole proprietor

Practice

Address
853 E 9400 S
Sandy, UT 84094
Phone
(801) 572-5550
Organisation at this address
Elevate Dental Partners
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 6065 S Fashion Blvd Ste 275, Murray, UT

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-16

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 Utah