Dr Maryann L Udy, DMD is a
Dentist - Oral And Maxillofacial Surgery based in O'fallon, Missouri. Dr Maryann L Udy is licensed to practice in Missouri (license number 2013009771) and her current practice location is
5551 Winghaven Blvd., Ste 210, O'fallon, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 978-6967.
NPI number for Dr Maryann L Udy is 1164650883 and her current mailing address is 5551 Winghaven Blvd., Ste 210, O'fallon, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164650883.
Healthcare Provider's Profile
Full Name | Dr Maryann L Udy |
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Gender | Female |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 5551 Winghaven Blvd., Ste 210, O'fallon, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164650883
- Provider Enumeration Date: 07/01/2009
- Last Update Date: 05/01/2020
Medical Identifiers
Medical identifiers for Dr Maryann L Udy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164650883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2013009771 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maryann L Udy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Maryann L Udy, DMD 5551 Winghaven Blvd., Ste 210, O'fallon, MO 63368 Ph: (636) 978-6967 | Dr Maryann L Udy, DMD 5551 Winghaven Blvd., Ste 210, O'fallon, MO 63368 Ph: (636) 978-6967 |
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