Vidic, Johnny Roman

Vidic, Johnny Roman is an individual health care provider with primary practice located at 351 West 6Th Street, Bldg 440 Usa Dentac - Attn: Credentials, Fort Stewart GA 31314-4704. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Vidic, Johnny Roman can be contacted via phone (912) 767-6735.

Contact Information

Primary practice address
351 West 6Th Street, Bldg 440 Usa Dentac - Attn: Credentials Fort Stewart GA 31314-4704
Phone: (912) 767-6735
Fax: (912) 870-6735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 13776 Maryland

Profile Details

NPI number 1366452526
LBN Legal business name Vidic, Johnny Roman
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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