Provider Demographics
NPI:1063669398
Name:TAMBURRINO, RYAN KENNETH (DMD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:KENNETH
Last Name:TAMBURRINO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 UNIONVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1923
Mailing Address - Country:US
Mailing Address - Phone:484-730-1921
Mailing Address - Fax:
Practice Address - Street 1:688 UNIONVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1923
Practice Address - Country:US
Practice Address - Phone:484-730-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0369691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics