Johnny Roman Vidic in Fort Stewart - Prosthodontics
Johnny Roman Vidic - NPI 1366452526
Johnny Roman Vidic is a Prosthodontics in Fort Stewart, Georgia. Johnny Roman Vidic practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Johnny Roman Vidic is 1366452526. The last update date is 2016-05-13.
Johnny Roman Vidic's current location address is 351 West 6th Street, Bldg 440, Fort Stewart, Georgia. You can contact this provider via phone number 9127676735 and fax number 9128706735. The mailing address for Johnny Roman Vidic is 351 West 6th Street, Bldg 440, Fort Stewart, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Roman Vidic |
|---|---|
| Address | 351 West 6th Street, Bldg 440, Fort Stewart, Georgia |
| Phone Number | 9127676735 |
| Fax Number | 9128706735 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366452526 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2016-05-13 |
Provider Mailing Address Detail
| Address | 351 West 6th Street, Bldg 440 |
|---|---|
| City | Fort Stewart |
| State | Georgia (GA) |
| Post Code | 313144704 |
| Phone Number | 9127676735 |
| Fax Number | 9128706735 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 13776 |
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Definition: 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 |
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What is the unique identification code assigned to Johnny Roman Vidic by the Centers for Medicare & Medicaid Services?
The Johnny Roman Vidic has been issued the NPI (National Provider Identifier) 1366452526. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Johnny Roman Vidic's physical address?
The Johnny Roman Vidic is physically located at 351 West 6Th Street, Bldg 440, in the city of Fort Stewart, GA, with the postal code 313144704.
What is Johnny Roman Vidic's area of expertise and its corresponding taxonomy classification?
The Johnny Roman Vidic's field of specialization is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1366452526 to Johnny Roman Vidic?
The Centers for Medicare & Medicaid Services assigned the 1366452526 to Johnny Roman Vidic on 2006-08-09.
When was the Johnny Roman Vidic's information last updated?
The Johnny Roman Vidic's information was last updated on 2016-05-13.