Organization · Type 2 NPI

Stephen W. Hiatt DDS and Maryann L. Udy DMD PC

Oral and Maxillofacial Surgery (Dentist) · O Fallon, MO

NPI number 1336314079 Active

Practice location

2992 Highway K, Ste 133
O Fallon, MO 63368-7861

Fax (636) 978-5905

Mailing address

5551 Winghaven Blvd. Ste. 210
O'fallon, MO 63368

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X011813 (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 1336314079

Stephen W. Hiatt DDS and Maryann L. Udy DMD PC's National Provider Identifier is 1336314079, issued on Apr 24, 2008. 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 Jun 28, 2019.