# ORAL PATHOLOGY CONSULTANTS LABORATORY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OHIO STATE DENTAL FACULTY PRACTICE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790272748
- **Legal business name:** OHIO STATE DENTAL FACULTY PRACTICE INC
- **Authorized official:** MS. LINDA MYERS MHHA (DIRECTOR)
- **Authorized official phone:** (614) 292-1472

## Contact information

- **Practice address:** 305 W 12TH AVE, COLUMBUS, OH 43210-1267
- **Practice address phone:** (614) 292-1472
- **Practice address fax:** (614) 688-3553
- **Mailing address:** 305 W 12TH AVE, COLUMBUS, OH 43210-1267
- **Mailing address phone:** (614) 292-1472
- **Mailing address fax:** (614) 688-3553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2018
- **Last updated:** 01/28/2026