Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RIVER VALLEY ORAL AND MAXILLOFACIAL SURGERY CLINIC LTD
Active
Organization
RIVER VALLEY ORAL AND MAXILLOFACIAL SURGERY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J LUTCHKA DMD MD (ORAL SURGEON)
(309) 797-1770
Entity
Organization
Contact information
Practice address
930 16TH AVE, MOLINE, IL 61265
(309) 797-1770
(309) 797-1791
Mailing address
930 16TH AVE, MOLINE, IL 61265
(309) 797-1770
(309) 797-1791
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
09/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers