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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral and Maxillofacial Surgery |
261QS0112X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Pediatric Dentistry |
1223P0221X |
| NPI # | 1437795234 |
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| LBN Legal business name | STC OPCO LLC | ||||
| Authorized official | BRIAN RAYME - (EVP & CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/27/2019 | ||||
| Last updated | 11/06/2025 - About 7 months ago | ||||
| Identifiers |
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STC OPCO LLC