1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Dental Hygienist
  6. NPI Profile

ALYSSA RUTH WALLER
NPI 1215805585
Dental Hygienist in Green Bay, WI

Active since October 28, 2025
1245 MAIN ST, GREEN BAY, WI 54302(920) 965-0831 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Ruth Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA RUTH WALLER (NPI 1215805585) is an individual dental hygienist in Green Bay, Wisconsin, licensed in Wisconsin (10302-16) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1215805585
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameALYSSA RUTH WALLER
Location Address1245 MAIN STGreen Bay, WI 54302-1306
Mailing Address1245 Main StGreen Bay, WI 54302-1306 · (920) 965-0831
Phone(920) 965-0831
Sole ProprietorNo
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1215805585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in WI · 10302-16
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1245 MAIN ST, Green Bay, WI 54302
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MAE TREML
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
KATIE JOHNSON R.D.H.
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
MORGAN CHRISTENSEN RDH
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
MRS. BETH M WAVRUNEK BS, RDH
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
PAIGE SHAW
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
JAENETTE SANDOVAL
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
MELISSA ANN KALLIE
Dental Hygienist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831
LUCY WANDA KOMOROWSKI DMD
Dentist
1245 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 965-0831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Waller's NPI number?

The NPI number for Alyssa Waller is 1215805585. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Alyssa Waller located?

Alyssa Waller practices at 1245 Main St, Green Bay, WI 54302. The listed phone number is (920) 965-0831.

What is Alyssa Waller's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Alyssa Waller was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.