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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMA WALLESTAD
NPI 1841177649
Dental Hygienist in Williamsport, PA

Active since August 21, 2025
471 HEPBURN ST, WILLIAMSPORT, PA 17701(570) 567-5400 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, Sep 29, 2026 (2 updates tracked since 2026).

About Emma Wallestad NPPES

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

EMMA WALLESTAD (NPI 1841177649) is an individual dental hygienist in Williamsport, Pennsylvania, licensed in Pennsylvania (DH075755) and active in the NPI registry since August 2025. She maintains a secondary practice location in Lock Haven.

NPPES Registry Identity

NPI1841177649
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameEMMA WALLESTAD
Location Address471 HEPBURN STWilliamsport, PA 17701-6122
Mailing Address471 Hepburn StWilliamsport, PA 17701-6122
Phone(570) 567-5400
Sole ProprietorNo
Enumeration DateAugust 21, 2025
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1841177649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in PA · DH075755
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.
471 HEPBURN ST, Williamsport, PA 17701
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Secondary Practice Location 1

Location 1124 E Walnut St Ste 2Lock Haven, PA 17745-3522 · Phone (570) 567-5400

Other Providers at the Same Location NPPES 20

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

BRIAN WEBSTER
Nurse Practitioner (Family)
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
MS. SONYA MILES
Nurse Practitioner
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Clinic/Center (Community Health)
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
MICHELLE MARIE DANGLE CRNP
Nurse Practitioner (Family)
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
DR. DANIEL D BOZZA D.M.D.
Dentist
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
DR. PATRICIA J BOZZA D.M.D.
Dentist
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
DANIEL R CONNER DO
Family Medicine
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400
RIVER VALLEY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
471 HEPBURN ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 567-5400

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 Emma Wallestad's NPI number?

The NPI number for Emma Wallestad is 1841177649. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Emma Wallestad located?

Emma Wallestad practices at 471 Hepburn St, Williamsport, PA 17701. The listed phone number is (570) 567-5400.

What is Emma Wallestad'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 Emma Wallestad was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.