Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CUSTOM ENDODONTICS, PC
NPI 1508760307
Dentist - Endodontics in Dickinson, ND

Q: What is Custom Endodontics, PC's NPI number?

The NPI number for Custom Endodontics, PC is 1508760307. It was assigned to this organization in the NPPES registry on October 5, 2026.

Q: What is Custom Endodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Active since October 05, 2026

401 W VILLARD ST STE 104, DICKINSON, ND 58601(701) 255-2523 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Custom Endodontics, Pc NPPES

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

CUSTOM ENDODONTICS, PC (NPI 1508760307) is a healthcare organization registered as an endodontics in Dickinson, North Dakota and active in the NPI registry since October 2026. The organization lists Michaela Muniz, Vp, Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1508760307

Entity TypeOrganization

Primary Taxonomy1223E0200X

Legal Business NameCUSTOM ENDODONTICS, PC

Location Address401 W VILLARD ST STE 104Dickinson, ND 58601-5283

Mailing Address401 W Villard St Ste 104Dickinson, ND 58601-5283 · (701) 255-2523

Phone(701) 255-2523

Organization SubpartYes

Authorized OfficialMichaela MunizVp, Payor Relations · (469) 324-3242

Enumeration DateOctober 5, 2026

NPPES CertifiedOctober 5, 2026

✔ NPI 1508760307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

401 W VILLARD ST STE 104, Dickinson, ND 58601

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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 Custom Endodontics, PC's NPI number?

The NPI number for Custom Endodontics, PC is 1508760307. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is Custom Endodontics, PC located?

Custom Endodontics, PC is located at 401 W Villard St Ste 104, Dickinson, ND 58601. The listed phone number is (701) 255-2523.

What is Custom Endodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Custom Endodontics, PC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.