Organization · Type 2 NPI
Stephen W. Hiatt DDS and Maryann L. Udy DMD PC
Oral and Maxillofacial Surgery (Dentist) · O Fallon, MO
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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 011813 (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.