Individual provider · Type 1 NPI

Mary M. Waller, DDS

Dentist · Genoa City, WI

NPI number 1679772669 Active

Practice location

501 Freeman St.
Genoa City, WI 53128-0159

Mailing address

PO Box 159
Genoa City, WI 53128-0159

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2865 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

About NPI 1679772669

Mary M. Waller, DDS's National Provider Identifier is 1679772669, issued on Jul 11, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Genoa City, WI. The record was last updated on Jul 11, 2007.