OrganizationActive
L R Eversole a Dental Corporation
NPI 1861452641 · Oral and Maxillofacial Pathology Dentistry · San Diego, CA
Provider details
- NPI number
- 1861452641
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Authorized official
- Lewis Eversole, President
Practice location
9292 Chesapeake Dr Ste 100
San Diego, CA 92123-1059
Phone: (858) 492-9500
Mailing address
Po Box 643
Poway, CA 92074-0643
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2011-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.