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RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC
NPI 1548288244
Dentist - Oral and Maxillofacial Surgery in Fort Smith, AR

Active since July 18, 2006
2407 S WALDRON RD, FORT SMITH, AR 72903(479) 484-1011(479) 484-1205 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About River Valley Oral & Maxillofacial Surgery Plc NPPES

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

RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC (NPI 1548288244) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Smith, Arkansas and active in the NPI registry since July 2006. The organization lists Gayle M. Freeman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548288244
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC
Location Address2407 S WALDRON RDFort Smith, AR 72903-3736
Mailing Address2407 S Waldron RdFort Smith, AR 72903-3736 · (479) 484-1011 · Fax (479) 484-1205
Phone(479) 484-1011
Fax(479) 484-1205
Organization SubpartNo
Authorized OfficialGayle M. FreemanOffice Manager · (479) 484-1011
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 27, 2009
✔ NPI 1548288244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AR · 2226
Definition
An oral and maxillofacial surgery dentist 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.
2407 S WALDRON RD, Fort Smith, AR 72903
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Other Identifiers 16

Other58041AR · Blue Cross Blue Shield
Other58111AR · Blue Cross Blue Shield
Medicare UPINT20390AR
Medicaid127321679AR
Medicaid127322679AR
Medicare PIN5C081AR
Medicaid100026580AOK
Other000516007United Concordia (ind-jr)
Other000861460United Concordia (grp)
Other000812852United Concordia (ind-jb)
Other1871553958Individual Npi
Medicare PIN58041
Other1629038708Individual Npi
Medicaid100174630AOK
Medicare PIN58111
Medicare UPINT20398

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN BRANDEBURA JR. D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2407 S WALDRON RD
FORT SMITH, AR 72903
Sebastian County (479) 484-1011
DR. JAMES ARTHUR REMERSCHEID D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2407 S WALDRON RD
FORT SMITH, AR 72903
Sebastian County (479) 484-1011

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 Valley Oral & Maxillofacial Surgery Plc's NPI number?

The NPI number for River Valley Oral & Maxillofacial Surgery Plc is 1548288244. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is River Valley Oral & Maxillofacial Surgery Plc located?

River Valley Oral & Maxillofacial Surgery Plc is located at 2407 S Waldron Rd, Fort Smith, AR 72903. The listed phone number is (479) 484-1011.

What is River Valley Oral & Maxillofacial Surgery Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for River Valley Oral & Maxillofacial Surgery Plc was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.