Provider Type Icon

RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC NPI 1548288244


NPI Information

NPI: 1548288244
Provider Name: RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2407 S WALDRON RD
FORT SMITH, AR
ZIP 72903
Phone: (479) 484-1011
Get Directions

RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC is an oral and maxillofacial surgery dentist in Fort Smith, AR. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC NPI is 1548288244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2407 S WALDRON RD
FORT SMITH, AR
ZIP 72903-736
Phone: (479) 484-1011
Fax: (479) 484-1205

The provider's authorized official is Gayle M. Freeman .
The authorized official title is Office Manager and has the following contact phone number (479) 484-1011.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 4/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery2226ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
158041OTHERARKANSASBLUE CROSS BLUE SHIELD
258111OTHERARKANSASBLUE CROSS BLUE SHIELD
3T20390MEDICARE UPINARKANSAS
4127321679MEDICAIDARKANSAS
5127322679MEDICAIDARKANSAS
65C081MEDICARE PINARKANSAS
7100026580AMEDICAIDOKLAHOMA
8000516007OTHERUNITED CONCORDIA (IND-JR)
9000861460OTHERUNITED CONCORDIA (GRP)
10000812852OTHERUNITED CONCORDIA (IND-JB)
111871553958OTHERINDIVIDUAL NPI
1258041MEDICARE PIN
131629038708OTHERINDIVIDUAL NPI
14100174630AMEDICAIDOKLAHOMA
1558111MEDICARE PIN
16T20398MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.