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

Dr. Brian Wallace, DMD

Individual provider General Practice Dentistry · NPI 1093866121

Dr. Brian Wallace, DMD is a General Practice Dentistry in Prestonsburg, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

781 S Lake Dr Ste 1
Prestonsburg, KY 41653-1340
Phone: (606) 886-2676
Fax: (606) 886-2741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7008 (KY)

Record details

NPI number1093866121
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007

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