JEFFREY S. JELIC, DMD, MD
NPI 1881761583
Dentist - Oral and Maxillofacial Surgery in Durham, NC

Active since November 29, 2006
5501 FORTUNES RIDGE DR, SUITE G, DURHAM, NC 27713(919) 419-9222(919) 419-9255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About JEFFREY S. JELIC, DMD, MD

This page provides the complete NPI Profile along with additional information for Jeffrey S. Jelic, Dmd, Md, a provider established in Durham, North Carolina operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1881761583 assigned on November 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 9900887 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Jeffrey S. Jelic, Dmd, Md. The authorized official of this NPI record is Mrs. Jennifer Thomas Pickett (Patient Care Coordinator)

NPI
1881761583 Verify this NPI
Provider Legal Name
THE CENTER FOR FUNCTIONAL & AESTHETIC FACIAL SURGERY
Other Organization Name
JEFFREY S. JELIC, DMD, MD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5501 FORTUNES RIDGE DR SUITE G DURHAM, NC 27713
Location Phone
(919) 419-9222
Location Fax
(919) 419-9255
Mailing Address
5501 FORTUNES RIDGE DR SUITE G DURHAM, NC 27713
Mailing Phone
(919) 419-9222
Mailing Fax
(919) 419-9255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Jeffrey S. Jelic, Dmd, Md is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
9900887
License State
NC
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER THOMAS PICKETT

Authorized Official Title
PATIENT CARE COORDINATOR
Authorized Official Phone
(919) 419-9222

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
5501 FORTUNES RIDGE DR, STE. L
DURHAM, NC 27713
Social Worker (Clinical)
5501 FORTUNES RIDGE DR
DURHAM, NC 27713
Chiropractor
5501 FORTUNES RIDGE DR
DURHAM, NC 27713
Chiropractor
5501 FORTUNES RIDGE DR
DURHAM, NC 27713
Behavior Analyst
5501 FORTUNES RIDGE DR, SUITE H
DURHAM, NC 27713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881761583, enumerated as an "organization" on November 29, 2006.

The provider is located at 5501 FORTUNES RIDGE DR SUITE G DURHAM, NC 27713 and the phone number is (919) 419-9222.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.