Alissa Edwards DDS LLC
Organization Active NPI Dental Clinic/Center · Appleton, WI
NPI 1982492864 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1982492864
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ALISSA EDWARDS DDS LLC
- Practice address
- 229 E Franklin St
Appleton, WI 54911-5434 - Phone
- (920) 733-2371
- NPI assigned
- Apr 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Alissa Ponczoch
- Title
- Owner
- Phone
- (414) 975-2240
Practitioners 1
-
Alissa Edwards, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
229 E Franklin St
Appleton, WI 54911-5434
Mailing address
N2714 Buckhorn Dr
Appleton, WI 54913-9611
Phone (414) 975-2240
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All providers in Appleton, WI · Dental Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.