Provider Demographics
NPI:1710008453
Name:AMUNY, RONALD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:AMUNY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 HWY 69 NORTH
Mailing Address - Street 2:SUITE F
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627
Mailing Address - Country:US
Mailing Address - Phone:409-727-5511
Mailing Address - Fax:409-727-6095
Practice Address - Street 1:1112 HWY 69 NORTH
Practice Address - Street 2:SUITE F
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627
Practice Address - Country:US
Practice Address - Phone:409-727-5511
Practice Address - Fax:409-727-6095
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice