Organization · Type 2 NPI

Wisconsin Endodontics SC

Endodontics · Kenosha, WI

NPI number 1528979036 Active

Practice location

7500 Green Bay Rd
Kenosha, WI 53142-4059

Specialties and licenses

Taxonomy	Code	License
Endodontics Primary	1223E0200X	None listed

Endodontics: 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.

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NPI record

NPI: 1528979036
Entity type: Organization (Type 2)
Issued: Sep 14, 2026
Last updated: Sep 14, 2026
Status: Active
Subpart: Yes of Wisconsin Endodontics SC

Other names

Endodontic Specialists of Wisconsin - Kenosha · doing business as

Authorized official

Michaela Muniz
VP, Payor Relations
(469) 324-3242

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528979036

Wisconsin Endodontics SC's National Provider Identifier is 1528979036, issued on Sep 14, 2026. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Kenosha, WI. The record was last updated on Sep 14, 2026.