Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

River Valley Oral and Maxillofacial Surgery Clinic Ltd

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1235250200

River Valley Oral and Maxillofacial Surgery Clinic Ltd is an Oral and Maxillofacial Surgery (Dentist) in Moline, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

930 16th Ave
Moline, IL 61265
Phone: (309) 797-1770
Fax: (309) 797-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1235250200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Lutchka — Oral Surgeon · (309) 797-1770
NPI enumeratedApril 3, 2007
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address930 16th Ave, Moline, IL 61265

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