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Dr. Johnny Roman Vidic, DDS
Prosthodontist in Fort Stewart, Georgia
NPI 1366452526

Johnny Roman Vidic is a Prosthodontist based in Fort Stewart, GA and is specialized in Prosthodontics. Johnny Roman Vidic practices in Fort Stewart, GA and has the professional credentials of DDS. The NPI Number for Johnny Roman Vidic is 1366452526 and holds a License No. 13776 (Georgia).

The current practice location address for Johnny Roman Vidic is 351 West 6Th Street, Bldg 440, Fort Stewart, GA and can be reached out via phone at 912-767-6735 and via fax at 912-870-6735.

Location: 351 West 6Th Street, Bldg 440, Fort Stewart, GA, 31314-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366452526
Provider Name
Johnny Roman Vidic
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
351 West 6Th Street, Bldg 440, Fort Stewart, GA, 31314-4704
Phone Number
912-767-6735
Fax Number
912-870-6735
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
351 West 6Th Street, Bldg 440
City
Fort Stewart
State
Georgia
Zip
31314-4704
Phone Number
912-767-6735
Fax Number
912-870-6735
person
Provider Business Mailing Address Details
Address
351 West 6Th Street, Bldg 440
City
Fort Stewart
State
Georgia
Zip
31314-4704
Phone Number
912-767-6735
Fax Number
912-870-6735
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
13776 (Maryland)
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 tissues with artificial substitutes.
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