| Stas Vidyakin, DMD | |
|
220 Southland Dr, Sikeston, MO 63801-4403 | |
| (573) 471-4167 | |
| (573) 471-4212 |
| Full Name | Stas Vidyakin |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 220 Southland Dr, Sikeston, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285292193 | NPI | - | NPPES |
| 400070483 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2019019577 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stas Vidyakin, DMD 6738 State Highway 77, Benton, MO 63736-8238 Ph: (573) 313-2500 | Stas Vidyakin, DMD 220 Southland Dr, Sikeston, MO 63801-4403 Ph: (573) 471-4167 |
Dr. Gail Redman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 220 Southland Dr, Sikeston, MO 63801 Phone: 573-471-4167 Fax: 573-471-4212 | |
Blake Essner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Southland Dr, Sikeston, MO 63801 Phone: 573-471-4167 Fax: 573-471-4212 | |
Mr. David Leroy Tongate, DDS Dentist Medicare: Medicare Enrolled Practice Location: 215 Tanner St, Sikeston, MO 63801 Phone: 573-471-2690 Fax: 573-471-2708 | |
Dr. Charles William Boyce, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 710 Lake St, Sikeston, MO 63801 Phone: 573-471-0225 Fax: 573-471-2750 | |
Dr. William Byron Dillon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 609 S Main St, Sikeston, MO 63801 Phone: 573-471-4335 | |
Pamela N Murphy, DMD Dentist Medicare: Medicare Enrolled Practice Location: 220 Southland Dr, Sikeston, MO 63801 Phone: 573-417-4167 Fax: 573-471-4212 |