Dr Maryann L Udy, DMD - Dentist in O'fallon, MO

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.

Contact Information

Dr Maryann L Udy, DMD
5551 Winghaven Blvd., Ste 210,
O'fallon, MO 63368
(636) 978-6967
(636) 978-5905

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Healthcare Provider's Profile

Full NameDr Maryann L Udy
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location5551 Winghaven Blvd., Ste 210, O'fallon, Missouri
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1164650883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - 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 AddressPractice 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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Dentist in O'fallon, MO