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

Dr. Mary M. Waller, DDS

Individual provider Dentist · NPI 1679772669

Dr. Mary M. Waller, DDS is a Dentist in Genoa City, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

501 Freeman St
Genoa City, WI 53128-0159
Phone: (262) 279-6432
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2865 (WI)

Record details

NPI number1679772669
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESJuly 11, 2007