Wisconsin Endodontics SC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

WISCONSIN ENDODONTICS SC

Doing business as

Endodontic Specialists of Wisconsin - Oconomowoc

Practice address

1185 Corporate Center Dr
Oconomowoc, WI 53066-4887

Phone

(262) 567-7840

NPI assigned

Sep 14, 2026

Organization subpart

Yes

Parent organization

WISCONSIN ENDODONTICS SCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 1

Addresses

Other names 1

• Endodontic Specialists of Wisconsin - Oconomowoc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1972414480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 CORPORATE CENTER DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664887",
            "telephone_number": "262-567-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CORPORATE CENTER DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664887",
            "telephone_number": "262-567-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ENDODONTICS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISCONSIN ENDODONTICS SC",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Specialists of Wisconsin - Oconomowoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Wilson
• Tiffany Lauren Wilson, HIS
• Thomas F Winters, MD
• Wisconsin Dental Group, S.C. (ForwardDental Oconomowoc)
• Wisconsin Eating Disorder Specialists SC
• Sharon Wittman, RD
• Jill P Wohlfeil, MD
• Brian T Wojczak
• Dereck Wolfgram, LCSW
• Ashley Wolfman, PTA

• Endodontics in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.