Organization
EVAN CHALK DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN CHALK DMD (OWNER)
(434) 845-1121
Entity
Organization
Contact information
Practice address
1922 THOMSON DR, LYNCHBURG, VA 24501-1019
(434) 845-1121
(434) 845-1096
Mailing address
1922 THOMSON DR, LYNCHBURG, VA 24501-1019
(434) 845-1121
(434) 845-1096
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181724168551
—
VA
Enumeration date
08/13/2024
Last updated
08/13/2024
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