# FRANK RUNCO DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942313630
- **Authorized official:** DR. FRANK ANTHONY RUNCO DMD (PRESIDENT)
- **Authorized official phone:** (314) 352-4680

## Contact information

- **Practice address:** 16 HAMPTON VILLAGE PLZ, SUITE 262, SAINT LOUIS, MO 63109-2111
- **Practice address phone:** (314) 352-4680
- **Practice address fax:** (314) 481-4014
- **Mailing address:** 16 HAMPTON VILLAGE PLZ, SUITE 262, SAINT LOUIS, MO 63109-2111
- **Mailing address phone:** (314) 352-4680
- **Mailing address fax:** (314) 481-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 14387 | MO | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020