CLEO VIDICAN, DDS
Oral and Maxillofacial Radiology Dentistry · WARREN, MI
Individual Active NPI 1184065294
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | ✓ | 25780 | MT |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 11848 | TN | |
| Dentist | 122300000X | 25780 | MT | |
| Dentist | 122300000X | 2901600790 | MI | |
| Dentist | 122300000X | 11848 | TN | |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | D13261 | MN | |
| Dentist | 122300000X | D13261 | MN | |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 2901600790 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Oral and Maxillofacial Radiology Dentistry providers in Michigan
- NPI 1881718922
- NPI 1417070038
- NPI 1124485107
- NPI 1225139652
- NPI 1548283559
- NPI 1548040728
See all Oral and Maxillofacial Radiology Dentistry providers in Michigan →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.