Provider Demographics
NPI:1598825911
Name:YORK, ADAM BURKE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BURKE
Last Name:YORK
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 1:2451 DARBY ROSE LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-9167
Mailing Address - Country:US
Mailing Address - Phone:775-626-8140
Mailing Address - Fax:
Practice Address - Street 1:120 BOVARD ST
Practice Address - Street 2:
Practice Address - City:YERINGTON
Practice Address - State:NV
Practice Address - Zip Code:89447-2437
Practice Address - Country:US
Practice Address - Phone:775-463-1800
Practice Address - Fax:775-463-4810
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV52181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100510953Medicaid