Individual provider · Type 1 NPI

Benton James Runquist, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Davis, CA

NPI number 1063598167 Active

Practice location

635 Anderson Rd, Suite #6
Davis, CA 95616-3505

Call (530) 756-0220 Map

Fax (530) 758-3796

Mailing address

307 Grande Ave
Davis, CA 95616-0211

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X33843 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1063598167

Benton James Runquist, DDS, M.S.'s National Provider Identifier is 1063598167, issued on Oct 31, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Davis, CA. The record was last updated on Jul 8, 2007.