National Provider Identifier Database

STC OPCO LLC
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.


Contact Information

STC OPCO LLC
160 E ERIE AVE
PHILADELPHIA, PA19134-1011
Phone: 215-427-5000
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Oral and Maxillofacial Surgery 1223S0112X
Pediatric Dentistry 1223P0221X

* Indicates primary specialty

NPI Profile & details for STC OPCO LLC

NPI Number 1437795234
Legal business name
LBN
STC OPCO LLC
Authorized official BRIAN RAYME - (EVP & CFO)
Entity Organization
Organization subpart No
Enumeration date 11/27/2019
Last updated 11/06/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1037284090004

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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