River Valley Oral and Maxillofacial Surgery Clinic Ltd
NPI 1235250200 · Oral and Maxillofacial Surgery (Dentist) · Moline, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
River Valley Oral and Maxillofacial Surgery Clinic Ltd is a Oral and Maxillofacial Surgery (Dentist) organization in Moline, IL (NPI 1235250200).
Provider details
- NPI number
- 1235250200
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Bradley Lutchka, Oral Surgeon(309) 797-1770
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Frequently asked questions
- What is River Valley Oral and Maxillofacial Surgery Clinic Ltd's NPI number?
- River Valley Oral and Maxillofacial Surgery Clinic Ltd's National Provider Identifier (NPI) is 1235250200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is River Valley Oral and Maxillofacial Surgery Clinic Ltd?
- River Valley Oral and Maxillofacial Surgery Clinic Ltd is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is River Valley Oral and Maxillofacial Surgery Clinic Ltd located?
- River Valley Oral and Maxillofacial Surgery Clinic Ltd's practice location on file with NPPES is 930 16th Ave, Moline, IL 61265.
- What is River Valley Oral and Maxillofacial Surgery Clinic Ltd's phone number?
- The practice phone number listed in the NPPES registry for River Valley Oral and Maxillofacial Surgery Clinic Ltd is (309) 797-1770.
- Does River Valley Oral and Maxillofacial Surgery Clinic Ltd accept Medicare?
- River Valley Oral and Maxillofacial Surgery Clinic Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for River Valley Oral and Maxillofacial Surgery Clinic Ltd?
- The authorized official listed on River Valley Oral and Maxillofacial Surgery Clinic Ltd's NPPES record is Bradley Lutchka, Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is River Valley Oral and Maxillofacial Surgery Clinic Ltd's NPI active?
- Yes — River Valley Oral and Maxillofacial Surgery Clinic Ltd's NPI (1235250200) is active in the NPPES registry as of the last update on 2020-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.