Evan Chalk DMD PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

EVAN CHALK DMD PLLC

Practice address

1922 Thomson Dr
Lynchburg, VA 24501-1019

Phone

(434) 845-1121

Fax

(434) 845-1096

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Evan Chalk, DMD

Title

Owner

Phone

(434) 845-1121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1922839638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011019",
            "telephone_number": "434-845-1121",
            "fax_number": "434-845-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011019",
            "telephone_number": "434-845-1121",
            "fax_number": "434-845-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN CHALK DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "CHALK",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-845-1121",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181724168551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Hands Inc.
• Christian Estrada, M.D.
• James Vincent Ettare II, PHARMD
• Jodi V. Ettare, PHARM.D.
• Whitney W Eubank, BSN, MSN
• Emily Ida Evans, MS, ATC, CMT
• Erin Evans, LPC
• Jenna Evans, LPC
• John Daniel Evans, PA-C
• Magda Evans, LPC

• Oral and Maxillofacial Surgery (Dentist) in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.