Provider Demographics
NPI:1497125405
Name:THOMAS J. YORK D.D.S. PLLC
Entity Type:Organization
Organization Name:THOMAS J. YORK D.D.S. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-223-4915
Mailing Address - Street 1:1102 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6284
Mailing Address - Country:US
Mailing Address - Phone:701-223-4915
Mailing Address - Fax:701-224-9928
Practice Address - Street 1:1102 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6284
Practice Address - Country:US
Practice Address - Phone:701-223-4915
Practice Address - Fax:701-224-9928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND16811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty