MEDICARE: EVAN LOMAX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	13196	TN

General Provider Information

NPI Number	:	1336073899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN LOMAX

Provider Business Mailing Address
First Line	:	6044 BAYONET LN
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-5512
Country	:	US
Telephone Number	:	615-758-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	684 N MOUNT JULIET RD
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-3323
Country	:	US
Telephone Number	:	615-758-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ EVAN LOMAX ” Practice Location

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