Stc Opco LLC
Clinic/Center, Oral and Maxillofacial Surgery in Philadelphia, PA. Organization (NPI-2).
NPI number1437795234
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1437795234
- Entity type
- Organization (NPI-2)
- Legal business name
- Stc Opco LLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2019
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | – | – | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – |
Other names
- St. Christopher'S Hospital For Children- Dental (Doing Business As)
Practice location
160 E Erie AvePhiladelphia, PA 19134-1011
Phone 215-427-5000
Mailing address
Po Box 13579Reading, PA 19612-3579
Authorized official
Brian Rayme
Evp & Cfo
4846281324
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