Search › Missouri › 1223G0001X
Stas Vidyakin, DMD
NPI 1285292193 · on the registry since 2019
Practice
- Address
- 220 Southland Dr
Sikeston, MO 63801 - Phone
- (573) 471-4167
- Fax
- (573) 471-4212
- Organisation at this address
- Southeast Missouri Health Network
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri