DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BENTON JAMES RUNQUIST, D.D.S., M.S.

Active Sole Proprietor

Orthodontics · DAVIS, CA

Registration Details

NPI Number
1063598167
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2006 (19.501241743937 yrs)
Last Updated
Jul 8, 2007
License
33843 (CA)
Sole Proprietor
Yes

Practice Information

Address
635 ANDERSON RD
SUITE #6
DAVIS, CA, 956163505
Browse CA providers · Browse ZIP 95616
Phone
5307560220
Fax
5307583796
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in DAVIS, CA

Name Credential NPI
DR. MATTHEW LEO MOLITOR DDS 1164555629
DR. PHILIP M WORTHINGTON DDS 1104252154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.