Dr. Benton James Runquist
Orthodontists
635 Anderson Rd Suite #6
Davis
, California 95616-3505
Dr. Benton James Runquist
Orthodontists
635 Anderson Rd Suite #6
Davis
, California 95616-3505
(530) 758-3796
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Benton James Runquist
- 307 Grande Ave
- Davis, CA
- Zip : 95616-0211
- Fax : (530) 758-3796
- Phone : (530) 757-6780
Second Address
- Dr. Benton James Runquist
- 635 Anderson Rd Suite #6
- Davis, CA
- Zip : 95616-3505
- Fax : (530) 758-3796
- Phone : (530) 756-0220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 33843 | CA |
National Provider Identifier
| NPI | 1063598167 |
|---|---|
| Provider Name | Dr. Benton James Runquist |
| First Address | Davis, CA 95616-0211 |
| Second Address | Davis, CA 95616-3505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.