Individual provider · Type 1 NPI
Maryann L. Udy, DMD
Oral and Maxillofacial Surgery (Dentist) · O'fallon, MO
NPI number
1164650883
Active
Practice location
5551 Winghaven Blvd., Ste 210
O'fallon, MO 63368
Fax (636) 978-5905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2013009771 (MO) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1164650883
Maryann L. Udy, DMD's National Provider Identifier is 1164650883, issued on Jul 1, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in O'fallon, MO. The record was last updated on May 1, 2020.