DR. MARYANN L UDY


Address: 5551 Winghaven Blvd., Ste 210, O'fallon, MO 63368
Phone: 6369786967

DR. MARYANN L UDY (NPI# 1164650883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164650883
Entity Type Individual
Full Name DR. MARYANN L UDY
Credential D.M.D.
Practice Address 5551 Winghaven Blvd., Ste 210
O'fallon
MO 63368
Practice Telephone 6369786967
Practice Fax Number 6369785905
Mailing Telephone 6369786967
Mailing Fax Number 6369785905
Enumeration Date 2009-07-01
Last Update Date 2020-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
2013009771 MO Dental Providers

Office Location

Street Address 5551 WINGHAVEN BLVD., STE 210
City O'FALLON
State MO
Zip Code 63368

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720329 Come As You Are Counseling LLC Counselor 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 2020-11-04
1770124802 Lisa N. Greer Technician 6911 Brassel Dr., Ofallon, MO 63368 2019-09-30
1770145716 Halie Faye Gulley Dentist 3009 Hwy K, O'fallon, MO 63368 2019-06-29
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1427579960 Air Evac Ems, Inc. Ambulance 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 2017-07-06
1528507472 Washeck Manual Therapy LLC Clinic/Center 3074 Winghaven Blvd, O'fallon, MO 63368 2017-02-13
1639618457 Brittany Hogan Physical Therapist 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 2017-02-13
1124561469 Cardinal Home Care LLC Home Health 18 Convent Garden Ct, O'fallon, MO 63368 2016-11-18
1336509272 Sarah Marie Mudd Counselor 1654 Bryan Road, O'fallon, MO 63368 2016-03-04
1588023956 Price-bourisaw Family Chiropractic Chiropractor 2917 State Highway K, O Fallon, MO 63368 2016-02-15
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881202943 Kansas City Oral Surgery & Implant Center Dentist 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 2020-07-15
1700403722 Kansas City Facial and Oral Surgery, LLC Dentist 2931 Ne Independence Ave., Lees Summit, MO 64064-6406 2020-06-26
1134767866 Courtney Ethington Dentist 4 West Dr Ste 170, Chesterfield, MO 63017-1793 2019-12-12
1184130528 Archway Oral Surgery and Dental Implants Dentist 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 2017-12-21
1780120410 Ervin Simmons Iv Dmd LLC Dentist 3220 Parker Rd, Florissant, MO 63033-3733 2017-01-19
1437531209 Federico Castillo Iv Dentist 2521 Cherry St, Kansas City, MO 64108-2750 2015-06-29
1437579208 Gregory Lohr Dentist 2931 Ne Independence Ave, Lees Summit, MO 64064 2014-04-21
1114347861 Zachary L Brown Dentist 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 2014-04-21
1265868863 Gregory Pernoud Dentist 1204 E State Route 72, Rolla, MO 65401-3938 2013-09-16
1942551247 Kansas City Surgical Arts LLC Dentist 8080 North Flintlock Road, Kansas City, MO 64158 2012-09-26
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Competitor

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City O'FALLON
Zip Code 63368

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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