NPI 1508760307 · live from the CMS NPI Registry
Custom Endodontics, PC
Dentist, Endodontics in Dickinson, ND. National Provider Identifier 1508760307, active.
NPI record
| NPI | 1508760307 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 401 W Villard St Ste 104, Dickinson, ND 58601 |
| Practice phone | 701-255-2523 |
| Enumerated | October 5, 2026 |
| Last updated | October 5, 2026 |
| Authorized official | Michaela Muniz, Vp, Payor Relations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics primary | 1223E0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.