Organization
STEPHEN W. HIATT DDS AND MARYANN L. UDY DMD PC
Active
Other names
George T. Shuert DDS and Stephen W. Hiatt DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA S. WISNIEWSKI (BUSINESS MANAGER)
(636) 978-6967
Entity
Organization
Contact information
Practice address
2992 HIGHWAY K, STE 133, O FALLON, MO 63368-7861
(636) 978-6967
(636) 978-5905
Mailing address
5551 WINGHAVEN BLVD. STE. 210, O'FALLON, MO 63368
(636) 978-6967
(636) 978-5905
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011813
MO
Other
Enumeration date
04/24/2008
Last updated
06/28/2019
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