Individual provider · Type 1 NPI

Michael Scott Runnels, DMD, PA

Orthodontics and Dentofacial Orthopedics Dentistry · Destin, FL

NPI number 1104026244 Active

Practice location

4399 Commons Dr E, Suite 100A
Destin, FL 32541-8413

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X14657 (FL)

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 1104026244

Michael Scott Runnels, DMD, PA's National Provider Identifier is 1104026244, issued on Jul 18, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Destin, FL. The record was last updated on Jul 18, 2007.