Cleo Vidican, DDS
Cleo Vidican, DDS is a provider specialising in Oral and Maxillofacial Radiology Dentistry in Warren, MI, registered under NPI 1184065294. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 31389 CREEK SIDE DR, Warren, MI 48093. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25780 | MT | Oral and Maxillofacial Radiology Dentistry primary |
| 11848 | TN | Oral and Maxillofacial Radiology Dentistry |
| 25780 | MT | Dentist |
| 2901600790 | MI | Dentist |
| 11848 | TN | Dentist |
| D13261 | MN | Oral and Maxillofacial Radiology Dentistry |
| D13261 | MN | Dentist |
| 2901600790 | MI | Oral and Maxillofacial Radiology Dentistry |
Licences are recorded in 4 states: MT, TN, MI, MN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Oral And Maxillofacial Radiology
- PAC ID
- 3173968690
Medicare enrolment is recorded as approved under the provider type Practitioner - Oral And Maxillofacial Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 4 states
This provider holds licences in 4 states: Michigan, Minnesota, Montana and Tennessee. The practice address on file is in Warren, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Oral and Maxillofacial Radiology covers
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223X0008X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry Oral and Maxillofacial Radiology | 25780 | MT | primary |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry Oral and Maxillofacial Radiology | 11848 | TN | |
| 122300000X | Dentist | 25780 | MT | |
| 122300000X | Dentist | 2901600790 | MI | |
| 122300000X | Dentist | 11848 | TN | |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry Oral and Maxillofacial Radiology | D13261 | MN | |
| 122300000X | Dentist | D13261 | MN | |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry Oral and Maxillofacial Radiology | 2901600790 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1184065294 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 17, 2013 |
| Last updated | May 21, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | DDS |
| Practice address |
31389 CREEK SIDE DR Warren, MI 48093 (586) 596-7172 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 0 | 6 | 5 | 2 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 0 | 6 | 1 | 2 | 9 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.