DR. JOHNNY ROMAN VIDIC DDS
NPI 1366452526
Dentist - Prosthodontics in Fort Stewart, GA

Q: What is Johnny Vidic's NPI number?

The NPI number for Johnny Vidic is 1366452526. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Johnny Vidic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Johnny Vidic was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2006

351 WEST 6TH STREET, BLDG 440, USA DENTAC - ATTN: CREDENTIALS, FORT STEWART, GA 31314(912) 767-6735(912) 870-6735 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Johnny Roman Vidic Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNNY ROMAN VIDIC DDS (NPI 1366452526) is an individual prosthodontics provider in Fort Stewart, Georgia, licensed in Maryland (13776) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366452526

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. JOHNNY ROMAN VIDICCredential: DDS

Location Address351 WEST 6TH STREET, BLDG 440, USA DENTAC - ATTN: CREDENTIALSFort Stewart, GA 31314-4704

Mailing Address351 West 6th Street, Bldg 440, Usa Dentac - Attn: CredentialsFort Stewart, GA 31314-4704 · (912) 767-6735 · Fax (912) 870-6735

Phone(912) 767-6735

Fax(912) 870-6735

Sole ProprietorNo

Enumeration DateAugust 9, 2006

Last NPPES UpdateMay 13, 2016

✔ NPI 1366452526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in MD · 13776

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.

351 WEST 6TH STREET, BLDG 440, Fort Stewart, GA 31314

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW GARCIA D.M.D

Dentist

351 WEST 6TH STREET, BLDG 440, U.S. ARMY DENTAL ACTIVITY, DENTAL CLINIC #1
FORT STEWART, GA 31314

Liberty County (912) 435-7009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Vidic's NPI number?

The NPI number for Johnny Vidic is 1366452526. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Johnny Vidic located?

Johnny Vidic practices at 351 West 6th Street, Bldg 440 Usa Dentac - Attn: Credentials, Fort Stewart, GA 31314. The listed phone number is (912) 767-6735.

What is Johnny Vidic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Johnny Vidic was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.