Individual provider · Type 1 NPI
Dennis Allen Runyan, DDS
Prosthodontics · Great Lakes, IL
NPI number
1659346328
Active
Practice location
Great Lakes Naval Training Center
Great Lakes, IL 60088
Mailing address
8714 245th Ave
Salem, WI 53168-9085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 5778 (WI) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Other prosthodontics providers in Great Lakes
About NPI 1659346328
Dennis Allen Runyan, DDS's National Provider Identifier is 1659346328, issued on Feb 17, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 13, 2026.