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PREMIER ENDODONTICS, PC
NPI 1902512163
Dentist - Endodontics in Rapid City, SD

Active since January 30, 2023
703 QUINCY ST STE 2, RAPID CITY, SD 57701(605) 868-6422 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Premier Endodontics, Pc NPPES

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

PREMIER ENDODONTICS, PC (NPI 1902512163), doing business as Summit Endodontics, is a healthcare organization registered as an endodontics in Rapid City, South Dakota and active in the NPI registry since January 2023. The organization lists Steven Frederick Wiswall, President, as its authorized official.

NPPES Registry Identity

NPI1902512163
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePREMIER ENDODONTICS, PC
Location Address703 QUINCY ST STE 2Rapid City, SD 57701-3674
Mailing Address13170 Bridge LnRapid City, SD 57702-8523 · (605) 868-6422
Phone(605) 868-6422
Organization SubpartNo
Authorized OfficialSteven Frederick WiswallPresident · (605) 868-6422
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1902512163 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.
703 QUINCY ST STE 2, Rapid City, SD 57701
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Other Names 1

Doing Business AsSummit Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. STEVEN FREDERICK WISWALL DMD, MS
Dentist (Endodontics)
703 QUINCY ST STE 2
RAPID CITY, SD 57701
Meade County (605) 868-6422

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 Premier Endodontics, PC's NPI number?

The NPI number for Premier Endodontics, PC is 1902512163. It was assigned to this organization in the NPPES registry on January 30, 2023. The provider is doing business as Summit Endodontics.

Where is Premier Endodontics, PC located?

Premier Endodontics, PC is located at 703 Quincy St Ste 2, Rapid City, SD 57701. The listed phone number is (605) 868-6422.

What is Premier 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 Premier Endodontics, PC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.