ORAL PATHOLOGY DIAGNOSTIC SERVICES
NPI 1861452641
Dentist - Oral and Maxillofacial Pathology in San Diego, CA

Q: What is L R Eversole A Dental Corporation's NPI number?

The NPI number for L R Eversole A Dental Corporation is 1861452641. It was assigned to this organization in the NPPES registry on March 24, 2006. The provider is doing business as Oral Pathology Diagnostic Services.

Q: What is L R Eversole A Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Active since March 24, 2006

9292 CHESAPEAKE DR STE 100, SAN DIEGO, CA 92123(858) 492-9500 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Oral Pathology Diagnostic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL PATHOLOGY DIAGNOSTIC SERVICES (NPI 1861452641) is a healthcare organization registered as an oral and maxillofacial pathology in San Diego, California and active in the NPI registry since March 2006. The organization lists Lewis R Eversole, President, as its authorized official.

NPPES Registry Identity

NPI1861452641

Entity TypeOrganization

Primary Taxonomy1223P0106X

Legal Business NameL R EVERSOLE A DENTAL CORPORATION

Location Address9292 CHESAPEAKE DR STE 100San Diego, CA 92123-1059

Mailing AddressPo Box 643Poway, CA 92074-0643 · (858) 513-3889 · Fax (858) 513-3893

Phone(858) 492-9500

Organization SubpartNo

Authorized OfficialLewis R EversolePresident · (858) 492-9500

Enumeration DateMarch 24, 2006

Last NPPES UpdateMarch 22, 2011

✔ NPI 1861452641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

9292 CHESAPEAKE DR STE 100, San Diego, CA 92123

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Other Names 1

Doing Business AsOral Pathology Diagnostic Services

Other Identifiers 1

Medicare PINW18514CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2087478

Oral Pathology Diagnostic Services · San Diego, CA

Expired · Jul 31, 2026

CLIA Number05D2087478

Laboratory TypeIndependent

Certificate Effective DateAugust 18, 2021

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorAustin Davies Dds

Laboratory Phone(858) 492-9500

Laboratory LocationOral Pathology Diagnostic Services3914 Murphy Canyon Rd, Ste A129, San Diego, CA 92123

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is L R Eversole A Dental Corporation's NPI number?

The NPI number for L R Eversole A Dental Corporation is 1861452641. It was assigned to this organization in the NPPES registry on March 24, 2006. The provider is doing business as Oral Pathology Diagnostic Services.

Where is L R Eversole A Dental Corporation located?

L R Eversole A Dental Corporation is located at 9292 Chesapeake Dr Ste 100, San Diego, CA 92123. The listed phone number is (858) 492-9500.

What is L R Eversole A Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for L R Eversole A Dental Corporation was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.