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STC OPCO LLC NPI 1437795234


NPI Information

NPI: 1437795234
Provider Name: STC OPCO LLC

Doing Business As: ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN- DENTAL

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
160 E ERIE AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-5000
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STC OPCO LLC is an oral and maxillofacial surgery clinic center in Philadelphia, PA. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. STC OPCO LLC NPI is 1437795234. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Christopher's Hospital For Children- Dental.

The provider's business location address is:

160 E ERIE AVE
PHILADELPHIA, PA
ZIP 19134-011
Phone: (215) 427-5000

The provider's authorized official is Gary Conner .
The authorized official title is Vp & Cfo and has the following contact phone number (484) 682-8181.

The enumeration date for this NPI number is 11/27/2019 and was last updated on 2/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
3261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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