Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Custom Endodontics, PC

Organization Endodontics · NPI 1124468590

Custom Endodontics, PC provides Endodontics in Bismarck, North Dakota. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

521 E Main Ave Ste 100
Bismarck, ND 58501-4418
Phone: (701) 255-2523
Fax: (701) 525-5765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X

Record details

NPI number1124468590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michaela Muniz — Vp, Payor Relations · (469) 324-3242
NPI enumeratedJuly 1, 2013
Last updated in NPPESOctober 7, 2026
Certification dateOctober 7, 2026
Mailing address521 E Main Ave Ste 100, Bismarck, ND 58501-4432

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