| Sikeston Dental Center | |
|
220 Southland Dr Sikeston MO 63801-4403 | |
| (573) 471-4167 | |
| (573) 471-4212 |
| Full Name | Sikeston Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Southland Dr, Sikeston, Missouri |
| Authorized Official Name and Position | Christopher Jones (CEO) |
| Authorized Official Contact | 5737482404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sikeston Dental Center 420 Semo Dr P.o. Box 400 New Madrid MO 63869-1734 Ph: (573) 748-2404 | Sikeston Dental Center 220 Southland Dr Sikeston MO 63801-4403 Ph: (573) 471-4167 |
| NPI Number | 1134340102 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 07/22/2014 |
| Medicare PECOS PAC ID | 6507818044 |
|---|---|
| Medicare Enrollment ID | O20170127001852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134340102 | NPI | - | NPPES |
| 1134340102 | Other | MO | NPI |
| 500704069 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 1223G0001X | Dentist - General Practice | (NU) | Secondary |
Women's Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 North Main, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 |
Managed Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Hunter, Suite 4, Sikeston, MO 63801 Phone: 573-471-2905 |
Sikeston Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-4050 |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 |
Missouri Delta Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Hospitality Dr, Sikeston, MO 63801 Phone: 573-471-0200 Fax: 573-471-7559 |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Smith Ave, Sikeston, MO 63801 Phone: 573-471-0200 |