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Premier Endodontics, PC

NPI 1902512163ActiveOrganization· Dentist, Endodontics· Rapid City, SD

Dentist, Endodontics in Rapid City, South Dakota, registered in NPPES in January 2023. The authorized official on file is Steven Frederick Wiswall, DMD, MS, President.

Overview

NPI1902512163
StatusActive
Entity typeOrganization
NPI issuedJan 30, 2023
Last updated in NPPESJan 30, 2023
Certified by providerJan 30, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, Endodontics providers in Rapid City

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