Provider Demographics
NPI:1821587643
Name:TUNNEY, GENE RYAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:RYAN
Last Name:TUNNEY
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 1:920 N NEW ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-2714
Mailing Address - Country:US
Mailing Address - Phone:610-867-7112
Mailing Address - Fax:
Practice Address - Street 1:920 N NEW ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2714
Practice Address - Country:US
Practice Address - Phone:610-867-7112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0418961223G0001X
NV72391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice