RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC (NPI# 1063987626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063987626 |
| Entity Type | Organization |
| Organization Name | RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC |
| Practice Address |
5418 N Loop 1604 E Suite 101 San Antonio TX 78023 |
| Mailing Address |
Po Box 1719 Helotes TX 78023-1719 |
| Practice Telephone | 2107780002 |
| Mailing Telephone | 2107780002 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | DR. MARK HAVERKORN (OWNER) |
| Authorized Official Telephone | 2107780002 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
5418 N LOOP 1604 E SUITE 101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672996 | Mark E Haverkorn | Dentist | 5418 N Loop 1604 E, Suite 101, San Antonio, TX 78249-5463 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750743696 | Natalya Bejar | Dentist | 12415 Bandera, 110, Helotes, TX 78023 | 2016-03-21 |
| 1235317470 | Jeffrey Mays Hart | Optometrist | 21325 Private Road 177, Helotes, TX 78023 | 2008-02-08 |
| 1528260544 | Candace Clare Lochridge | Physical Therapy Assistant | 11018 Chicory Field, Helotes, TX 78023 | 2007-06-01 |
| 1538299383 | Jose Antonio Brigman | Dentist | 12415 Bandera Rd., Suite 110, Helotes, TX 78023 | 2007-03-07 |
| 1720148778 | Marlena L. Pomelow | Dentist | 14938 San Pasqual, Helotes, TX 78023 | 2006-12-11 |
| 1790855716 | Mohamed Farouk Mitwally | Obstetrics & Gynecology | 122 Candelaria, Helotes, TX 78023 | 2006-11-08 |
| 1992811889 | Thomas J Haberman Dds PC | Dentist | 13438 Bandera Rd, #202, Helotes, TX 78023 | 2006-08-22 |
| 1871521823 | Karen T. Allsup | Obstetrics & Gynecology | 12850 Bandera Rd Ste 106, Helotes, TX 78023 | 2006-06-29 |
| 1396726725 | Thp Inc | Durable Medical Equipment & Medical Supplies | 12914 Bandera Hwy, Helotes, TX 78023 | 2005-11-11 |
| 1760472948 | Imam Eko Tjahja | Internal Medicine | 12340 Bandera Rd Ste 104, Helotes, TX 78023 | 2005-10-27 |
| Find all providers in zip 78023 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028142 | Crownridge Dental | Clinic/Center | 6827 Camp Bullis Rd Ste 302, San Antonio, TX 78256-1730 | 2020-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491244 | Stephen Barker Dds Pllc | Clinic/Center | 9803 Highway 242 Ste 700, Conroe, TX 77385-4370 | 2018-03-21 |
| 1144758954 | Telfair Oral and Maxillofacial Surgery Pllc | Clinic/Center | 13440 University Blvd Ste 250, Sugar Land, TX 77479-4798 | 2017-05-24 |
| 1255719100 | South Houston Oral,facial&implant Surgery Center | Clinic/Center | 2537 Houston Ave, Pearland, TX 77581-4231 | 2015-05-12 |
| 1578973483 | Mazen Duraini, Dds, Md, Pllc | Clinic/Center | 6753 Cabrillo, Irving, TX 75039-3223 | 2014-04-30 |
| 1912221029 | Sharon H Ornstein, Dds, Pa | Clinic/Center | 6351 N Preston Rd, Suite 200, Fisco, TX 75034 | 2010-03-18 |
| 1437397148 | Oral & Maxillofacial Surgery Affiliates, P.C. | Clinic/Center | 7030 Sanger Ave, Suite 100, Waco, TX 76712 | 2009-02-03 |
| 1912150111 | Waterford Dental Specialists, Pllc | Clinic/Center | 5246 S. 31st St., Temple, TX 76502 | 2008-10-31 |
| 1790778314 | Aesthetic Oral & Facial Surgical Center of The Southwest, PC | Clinic/Center | 1850 Keller Pkwy, Suite 102, Keller, TX 76248-3706 | 2005-08-30 |
| 1396344933 | Twtsa, LLC. | Clinic/Center | 6025 Harris Pkwy, Fort Worth, TX 76132-4103 | 2020-10-24 |
| 1790218782 | Aoms Outpatient Surgery, Pllc | Clinic/Center | 5051 S Soncy Rd, Amarillo, TX 79119-6667 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78023 |
Please comment or provide details below to improve the information on RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.