RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC
NPI 1063987626
Clinic/Center - Oral and Maxillofacial Surgery in San Antonio, TX

Active since October 10, 2018
5418 N LOOP 1604 E, SUITE 101, SAN ANTONIO, TX 78023(210) 778-0002 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About River City Oral And Maxillofacial Surgery, Pllc NPPES

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

RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC (NPI 1063987626) is a healthcare organization registered as an oral and maxillofacial surgery in San Antonio, Texas and active in the NPI registry since October 2018. The organization lists Mark Haverkorn, Owner, as its authorized official.

NPPES Registry Identity

NPI1063987626
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameRIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC
Location Address5418 N LOOP 1604 E, SUITE 101San Antonio, TX 78023
Mailing AddressPo Box 1719Helotes, TX 78023-1719 · (210) 778-0002
Organization SubpartNo
Authorized OfficialMark HaverkornOwner · (210) 778-0002
Enumeration DateOctober 10, 2018
NPI 1063987626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition

An oral and maxillofacial surgery clinic or center specialized in 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.

5418 N LOOP 1604 E, San Antonio, TX 78023

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 River City Oral And Maxillofacial Surgery, PLLC's NPI number?

The NPI number for River City Oral And Maxillofacial Surgery, PLLC is 1063987626. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is River City Oral And Maxillofacial Surgery, PLLC located?

River City Oral And Maxillofacial Surgery, PLLC is located at 5418 N Loop 1604 E Suite 101, San Antonio, TX 78023. The listed phone number is (210) 778-0002.

What is River City Oral And Maxillofacial Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for River City Oral And Maxillofacial Surgery, PLLC was last updated on October 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.