Provider Demographics
NPI:1053479741
Name:YORK, JOHN WAYNE II (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WAYNE
Last Name:YORK
Suffix:II
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 1:55 GOLFVIEW DR NE
Mailing Address - Street 2:PO BOX 726
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5467
Mailing Address - Country:US
Mailing Address - Phone:256-586-8100
Mailing Address - Fax:256-586-0134
Practice Address - Street 1:55 GOLFVIEW DR NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5467
Practice Address - Country:US
Practice Address - Phone:256-586-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL46151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice