NPI: 1881761583
Provider Name: THE CENTER FOR FUNCTIONAL & AESTHETIC FACIAL SURGERY
Other Name: JEFFREY S. JELIC, DMD, MD
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
5501 FORTUNES RIDGE DR
SUITE G
DURHAM, NC
ZIP 27713
Phone: (919) 419-9222
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THE CENTER FOR FUNCTIONAL & AESTHETIC FACIAL SURGERY is an oral and maxillofacial surgery dentist in Durham, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. THE CENTER FOR FUNCTIONAL & AESTHETIC FACIAL SURGERY NPI is 1881761583. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jeffrey S. Jelic, Dmd, Md.
The provider's business location address is:
5501 FORTUNES RIDGE DR
SUITE G
DURHAM, NC
ZIP 27713-102
Phone: (919) 419-9222
Fax: (919) 419-9255
The provider's authorized official is Jennifer Thomas Pickett .
The authorized official title is Patient Care Coordinator and has the following contact phone number (919) 419-9222.
The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.