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STAS VIDYAKIN DMD
NPI 1285292193
Dentist - General Practice in Sikeston, MO

Active since June 05, 2019
220 SOUTHLAND DR, SIKESTON, MO 63801(573) 471-4167(573) 471-4212 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2020, Jun 5, 2019 (2 updates tracked since 2019).

About Stas Vidyakin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAS VIDYAKIN DMD (NPI 1285292193) is an individual general practice provider in Sikeston, Missouri, licensed in Missouri (2019019577) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1285292193
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTAS VIDYAKINCredential: DMD
Location Address220 SOUTHLAND DRSikeston, MO 63801-4403
Mailing Address6738 State Highway 77Benton, MO 63736-8238 · (573) 313-2500 · Fax (573) 313-2505
Phone(573) 471-4167
Fax(573) 471-4212
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1285292193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2019019577
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
220 SOUTHLAND DR, Sikeston, MO 63801
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Other Identifiers 1

Medicaid400070483MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ZEIGLER DENTAL HYGENTIST
Dental Hygienist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
DR. GAIL REDMAN DDS
Dentist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
SOUTHEAST MISSOURI HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
BLAKE ESSNER DDS
Dentist (General Practice)
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
AMBER GRAHAM
Dental Hygienist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
DR. LIYA M KUNNASSERY DDS
Dentist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
DR. JAMES M JERNIGAN DDS
Dentist (General Practice)
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167
JUSTIN SHAW DMD
Dentist
220 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 471-4167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stas Vidyakin's NPI number?

The NPI number for Stas Vidyakin is 1285292193. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Stas Vidyakin located?

Stas Vidyakin practices at 220 Southland Dr, Sikeston, MO 63801. The listed phone number is (573) 471-4167.

What is Stas Vidyakin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stas Vidyakin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 16 other insurers list Stas Vidyakin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stas Vidyakin was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.