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

Custom Endodontics, PC

Organization Endodontics · NPI 1508760307

Custom Endodontics, PC provides Endodontics in Dickinson, North Dakota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

401 W Villard St Ste 104
Dickinson, ND 58601-5283
Phone: (701) 255-2523
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 number1508760307
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCustom Endodontics, PC
Authorized official Michaela Muniz — Vp, Payor Relations · (469) 324-3242
NPI enumeratedOctober 5, 2026
Last updated in NPPESOctober 5, 2026
Certification dateOctober 5, 2026
Mailing address401 W Villard St Ste 104, Dickinson, ND 58601-5283