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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.

About Jeffrey S. Jelic, Dmd, Md NPPES

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

JEFFREY S. JELIC, DMD, MD (NPI 1881761583) is a healthcare organization registered as an oral and maxillofacial surgery in Durham, North Carolina and active in the NPI registry since November 2006. The organization lists Jennifer Thomas Pickett, Patient Care Coordinator, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1881761583
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHE CENTER FOR FUNCTIONAL & AESTHETIC FACIAL SURGERY
Location Address5501 FORTUNES RIDGE DR, SUITE GDurham, NC 27713-6102
Mailing Address5501 Fortunes Ridge Dr, Suite GDurham, NC 27713-6102 · (919) 419-9222 · Fax (919) 419-9255
Phone(919) 419-9222
Fax(919) 419-9255
Organization SubpartNo
Authorized OfficialJennifer Thomas PickettPatient Care Coordinator · (919) 419-9222
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881761583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NC · 9900887
Definition

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.

5501 FORTUNES RIDGE DR, Durham, NC 27713
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Other Names 1

Other NameJeffrey S. Jelic, Dmd, Md

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

Reviews for JEFFREY S. JELIC, DMD, MD

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Other Providers at the Same Location


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

PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC
Clinic/Center (Physical Therapy)
5501 FORTUNES RIDGE DR, STE. L
DURHAM, NC 27713
Durham County (919) 710-2681
ANDREA MIESMER LCSWA
Social Worker (Clinical)
5501 FORTUNES RIDGE DR
DURHAM, NC 27713
Durham County (919) 330-4147
DR. CHRISTOPHER ALLEN WINANS DC
Chiropractor
5501 FORTUNES RIDGE DR
DURHAM, NC 27713
Durham County (919) 908-8322
WINANS CHIROPRACTIC, PLLC
Chiropractor
5501 FORTUNES RIDGE DR
DURHAM, NC 27713
Durham County (828) 244-4082
JENNIFER VRIEZE M.ED; BCBA
Behavior Analyst
5501 FORTUNES RIDGE DR, SUITE H
DURHAM, NC 27713
Durham County (919) 213-9845

Frequently Asked Questions

What is THE CENTER FOR FUNCTIONAL & AESTHETIC FACIAL SURGERY's NPI number?

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

Where is the provider located?

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

What is the provider's specialty?

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