L R Eversole a Dental Corporation

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

L R EVERSOLE A DENTAL CORPORATION

Practice address

9292 Chesapeake Dr Ste 100
San Diego, CA 92123-1059

Phone

(858) 492-9500

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Lewis R Eversole, DDS

Title

President

Phone

(858) 492-9500

Specialties & licenses 1

Addresses

Other names 1

• ORAL PATHOLOGY DIAGNOSTIC SERVICES Doing business as

Practitioners 1

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

• Allan Joseph Dovigi, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
  • NPI 1629168265
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1861452641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920740643",
            "telephone_number": "858-513-3889",
            "fax_number": "858-513-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 CHESAPEAKE DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231059",
            "telephone_number": "858-492-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L R EVERSOLE A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "EVERSOLE",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-492-9500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORAL PATHOLOGY DIAGNOSTIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Lillace Kyne
• Abigail Kyriakides, OTR/L
• Volodymyr Kyrylin
• Erika Kyte
• L Dale Lapp M D Inc
• L S W P
• L. Ferguson Chiropractic Inc.
• Toni L'Ecluse, SLP
• Heidi La Bash, PHD
• Danielle La Belle

• Oral and Maxillofacial Pathology Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.