Provider Demographics
NPI:1013041490
Name:YORK, GERALD M (DDS)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:M
Last Name:YORK
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 1:855 W 7TH ST
Mailing Address - Street 2:SUITE #5
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2705
Mailing Address - Country:US
Mailing Address - Phone:775-322-5016
Mailing Address - Fax:775-329-0510
Practice Address - Street 1:855 W 7TH ST
Practice Address - Street 2:SUITE #5
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2705
Practice Address - Country:US
Practice Address - Phone:775-322-5016
Practice Address - Fax:775-329-0510
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice