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

Alyssa Ruth Waller

Individual provider Dental Hygienist · NPI 1215805585

Alyssa Ruth Waller is a Dental Hygienist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

1245 Main St
Green Bay, WI 54302-1306
Phone: (920) 965-0831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 10302-16 (WI)

Record details

NPI number1215805585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address1245 Main St, Green Bay, WI 54302-1306

Other providers in Green Bay