Alissa Edwards, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6542-15 Issued in WI

Practice address

229 E Franklin St
Appleton, WI 54911-5434

Phone

(920) 733-2371

NPI assigned

Jun 25, 2010

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alissa Tomalak Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Sleep and Airway

  • Dental Clinic/Center
  • Appleton, WI
  • NPI 1841088564
  NPD Authorized official
• Alissa Edwards DDS LLC

  • Dental Clinic/Center
  • Appleton, WI
  • NPI 1982492864
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1578874426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2714 BUCKHORN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139611",
            "telephone_number": "414-975-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E FRANKLIN ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115434",
            "telephone_number": "920-733-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALISSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6542-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "TOMALAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacie A Ebben, NP
• Tammy Lynn Ebben
• Kristen R Ebert, FNP-C
• Edenbrook on Meade Nursing and Rehab LLC (Edenbrook of Appleton-North)
• Edenbrook on Oneida Nursing and Rehab LLC (Edenbrook Appleton South)
• Michelle A Edwards, MD
• Kyra Egan
• David Allen Eggert, MD
• Madeline Shane Eggert, PA-C
• Sonya R Eiben, MD

• Dentist in Appleton, WI
• Providers in Appleton, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.