Organization · Type 2 NPI

Wisconsin Endodontics SC

Endodontics · Oconomowoc, WI

NPI number 1972414480 Active

Practice location

1185 Corporate Center Dr
Oconomowoc, WI 53066-4887

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.

22 other providers at this address

NPI record

NPI: 1972414480
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 - Oconomowoc · doing business as

Authorized official

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

Verify this record

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 1972414480

Wisconsin Endodontics SC's National Provider Identifier is 1972414480, issued on Sep 14, 2026. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Oconomowoc, WI. The record was last updated on Sep 14, 2026.