Jennifer W Chalker, DDS

Individual provider Active NPI General Practice Dentistry · Rockingham, VA

NPI 1871567032 · NPPES record last updated Jun 29, 2020

Key facts

NPI
1871567032
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401412757 (VA)
Practice address
4111 Quarles Court
Rockingham, VA 22801
Phone
(540) 434-4343
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401412757VAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412757 VA Yes

Addresses

Primary practice location

4111 Quarles Court
Rockingham, VA 22801

Mailing address

4111 Quarles Court
Rockingham, VA 22801
Phone (540) 434-4343

Other providers in Rockingham, VA

All providers in Rockingham, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.