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WILMINGTON AESTHETIC FACIAL PLASTIC AND RECONSTRUCTIVE CENTER, LLC
NPI 1316202948
Otolaryngology - Facial Plastic Surgery in Wilmington, NC

Active since July 10, 2012
1604 PHYSICIANS DR, 103, WILMINGTON, NC 28401(910) 762-1070(910) 762-1083 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilmington Aesthetic Facial Plastic And Reconstructive Center, Llc NPPES

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

WILMINGTON AESTHETIC FACIAL PLASTIC AND RECONSTRUCTIVE CENTER, LLC (NPI 1316202948) is a healthcare organization registered as a facial plastic surgery in Wilmington, North Carolina and active in the NPI registry since July 2012. The organization lists Deidra A Blanks, Owner, as its authorized official.

NPPES Registry Identity

NPI1316202948
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameWILMINGTON AESTHETIC FACIAL PLASTIC AND RECONSTRUCTIVE CENTER, LLC
Location Address1604 PHYSICIANS DR, 103Wilmington, NC 28401-7362
Mailing Address1604 Physicians Dr, 103Wilmington, NC 28401-7362 · (910) 762-1070 · Fax (910) 762-1083
Phone(910) 762-1070
Fax(910) 762-1083
Organization SubpartNo
Authorized OfficialDeidra A BlanksOwner · (910) 762-1070
Enumeration DateJuly 10, 2012
Last NPPES UpdateJuly 26, 2012
✔ NPI 1316202948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in NC · 2006-00621
Definition
An otolaryngologist who specializes in facial plastic surgery.
1604 PHYSICIANS DR, Wilmington, NC 28401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

COASTAL CAROLINA HEART LLC
Clinic/Center (Medical Specialty)
1604 PHYSICIANS DR, SUITE 104
WILMINGTON, NC 28401
New Hanover County (910) 762-2292
AZALEA COAST PLASTIC SURGERY, PA
Clinic/Center (Medical Specialty)
1604 PHYSICIANS DR, SUITE 103
WILMINGTON, NC 28401
New Hanover County (910) 762-1234
DR. TIMOTHY H. MIHLE
Dentist (Endodontics)
1604 PHYSICIANS DR, SUITE 101
WILMINGTON, NC 28401
New Hanover County (910) 343-3333
DR. DAMON ROSS ARNE' DDS
Dentist (Prosthodontics)
1604 PHYSICIANS DR, SUITE 102
WILMINGTON, NC 28401
New Hanover County (910) 762-1118
DAMON R ARNE, DDS, PA
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1604 PHYSICIANS DR, SUITE 102
WILMINGTON, NC 28401
New Hanover County (910) 762-1118
DR. KERRY ALLYSON SMITH DPM
Podiatrist (Foot Surgery)
1604 PHYSICIANS DR, SUITE 105
WILMINGTON, NC 28401
New Hanover County (910) 777-9054
AZALEA COAST PODIATRY AND FOOT SPA, PLLC
Podiatrist (Foot Surgery)
1604 PHYSICIANS DR, SUITE 105
WILMINGTON, NC 28401
New Hanover County (910) 777-9054
COASTAL CAROLINA HEART, LLC
Clinic/Center (Medical Specialty)
1604 PHYSICIANS DR, SUITE 104
WILMINGTON, NC 28401
New Hanover County (910) 762-2292

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 Wilmington Aesthetic Facial Plastic And Reconstructive Center, LLC's NPI number?

The NPI number for Wilmington Aesthetic Facial Plastic And Reconstructive Center, LLC is 1316202948. It was assigned to this organization in the NPPES registry on July 10, 2012.

Where is Wilmington Aesthetic Facial Plastic And Reconstructive Center, LLC located?

Wilmington Aesthetic Facial Plastic And Reconstructive Center, LLC is located at 1604 Physicians Dr 103, Wilmington, NC 28401. The listed phone number is (910) 762-1070.

What is Wilmington Aesthetic Facial Plastic And Reconstructive Center, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Wilmington Aesthetic Facial Plastic And Reconstructive Center, LLC was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.