Stas Vidyakin is a Sikeston, Missouri based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stas Vidyakin is 2019019577 for General Practice Dentistry in Missouri. His current practice location is 220 Southland Dr, Sikeston. Patients can reach him at 573-471-4167.
Stas Vidyakin is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Stas Vidyakin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Stas Vidyakin
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
220 Southland Dr, Sikeston, Missouri, 63801-4403
Phone:
573-471-4167
Fax:
573-471-4212
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1285292193
NPI Enumeration Date:
05 Jun, 2019
NPI Last Update On:
12 Mar, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stas Vidyakin are as mentioned below.
License Number
Specialization
State
Status
2019019577
General Practice Dentistry
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Stas Vidyakin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
400070483
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6738 State Highway 77, Benton, Missouri
Zip:
63736-8238
Phone Number:
573-313-2500
Fax Number:
573-313-2505
Patients can reach Stas Vidyakin at 220 Southland Dr, Sikeston, Missouri or can call to book an appointment on 573-471-4167. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.