Organization Active NPI

William Carvajal DDS MD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynchburg, VA
National Provider Identifier
1902952021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0101233899 Issued in VA
Legal business name
WILLIAM CARVAJAL DDS MD INC
Practice address
101 Archway CT
Lynchburg, VA 24502-2890
Phone
(434) 832-8040
Fax
(434) 832-8041
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Carvajal, D.D.S., M.D.NPI 1750493193
Title
President
Phone
(434) 832-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 0101233899 VA Primary

Addresses

Primary practice location

101 Archway CT
Lynchburg, VA 24502-2890

Mailing address

101 Archway CT
Lynchburg, VA 24502-2890
Phone (434) 832-8040

Other names 1

  • Central Virginia Oral and Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

101 Archway Ct
Lynchburg, VA 24502
Phone (434) 832-8040

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902952021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCHWAY CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022890",
            "telephone_number": "434-832-8040",
            "fax_number": "434-832-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARCHWAY CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022890",
            "telephone_number": "434-832-8040",
            "fax_number": "434-832-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CARVAJAL DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-832-8040",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0101233899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Virginia Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.