Provider Demographics
NPI:1104983527
Name:YORK, VICTOR S (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:S
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 1:70 DURBIN PAVILION DR STE 112
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-4121
Mailing Address - Country:US
Mailing Address - Phone:904-325-7276
Mailing Address - Fax:904-217-3156
Practice Address - Street 1:70 DURBIN PAVILION DR STE 112
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-4121
Practice Address - Country:US
Practice Address - Phone:904-325-7276
Practice Address - Fax:904-217-3156
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN31079122300000X
WV29031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice