DR. Maryann L Udy, D.M.D. is an oral and maxillofacial surgery dentist in O'fallon, MO. The provider is an oral and maxillofacial surgery dentist 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. DR. Maryann L Udy, D.M.D. NPI is 1164650883. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5551 WINGHAVEN BLVD., STE 210
O'FALLON, MO
ZIP 63368
Phone: (636) 978-6967
Fax: (636) 978-5905
The NPI 1164650883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/1/2009 and was last updated on 5/1/2020.