# RED RIVER ORAL SURGERY

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770134876
- **Authorized official:** DR. JOHN CHARLES HORNBERGER DDS (MEMBER)
- **Authorized official phone:** (713) 899-5218

## Contact information

- **Practice address:** 4616 HIGHWAY 75, SUITE 201, DENISON, TX 75020
- **Practice address phone:** (713) 899-5218
- **Mailing address:** 4616 US HWY 75 \# 201, DENISON, TX 75020-4582
- **Mailing address phone:** (903) 416-8585
- **Mailing address fax:** (903) 416-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 11/04/2020