Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNNY ROMAN VIDIC, DDS
ActiveDR. JOHNNY ROMAN VIDIC, DDS is a Pediatric Dentistry healthcare provider located in FORT STEWART, Georgia. NPI 1366452526 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FORT STEWART, GA
Registration Details
- NPI Number
- 1366452526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (20.042034450056 yrs)
- Last Updated
- May 13, 2016
- License
-
13776 (MD)
Practice Information
- Address
-
351 WEST 6TH STREET, BLDG 440USA DENTAC - ATTN: CREDENTIALSFORT STEWART, GA, 313144704Browse GA providers · Browse ZIP 31314
- Phone
- 9127676735
- Fax
- 9128706735
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in FORT STEWART, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY J KOPPENHAVER | DMD | 1043441108 |
| DR. KEVIN LASSITER | D.M.D. | 1043621493 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.