IndividualActive
Dennis Runyan, DDS
NPI 1659346328 · Prosthodontics · Great Lakes, IL
Provider details
- NPI number
- 1659346328
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 5778 (WI)
Specialties & taxonomies
Dental Providers
Practice location
Great Lakes Naval Training Center
Great Lakes, IL 60088
Phone: (847) 688-7373
Approximate (ZIP-level) locationGet directions
Mailing address
8714 245th Ave
Salem, WI 53168-9085
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.