DR. JOHNNY ROMAN VIDIC DDS NPI 1366452526

NPI Information

  • NPI: 1366452526
  • Provider Name: DR. JOHNNY ROMAN VIDIC, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 351 WEST 6TH STREET, BLDG 440
    USA DENTAC - ATTN: CREDENTIALS
    FORT STEWART, GA
    ZIP 31314
  • Phone: (912) 767-6735

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NPI Details

DR. Johnny Roman Vidic, DDS is a prosthodontics dentist in Fort Stewart, GA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Johnny Roman Vidic, DDS NPI is 1366452526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

351 WEST 6TH STREET, BLDG 440
USA DENTAC - ATTN: CREDENTIALS
FORT STEWART, GA
ZIP 31314-704
Phone: (912) 767-6735
Fax: (912) 870-6735

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics13776MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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