Dr. Gerald W Vidan , DDS
Dentist - General Practice • Eudora, KS
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Vidan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gerald Vidan, DDS was a registered Dentist - General Practice practicing in Eudora, KS. Throughout an active medical career spanning 16 years, Dr. Vidan provided care at the practice location at 105 W 10TH ST until profile deactivation on 2021-06-14.
Practice Location & Contact Primary Location
105 W 10th St
Eudora, KS 660259593
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Eudora, KS
Practicing in Eudora, KS (1140 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 14, 2021
NPI status registered as active in NPPES database
Registered at 105 W 10TH ST, EUDORA, KS 660259593 (Tel: 7855422993)
Registered at 538 CHURCH ST, EUDORA, KS 660259516 (Tel: 7855422143)
Recorded as GERALD VIDAN, D.D.S.
Dentist (License #7077 in KS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
538 Church St
Eudora, KS 660259516
Phone: 7855422143
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